Ashton, Stacey Elizabeth

Ashton, Stacey Elizabeth is an individual health care provider with primary practice located at 1251 Hickory St , Melbourne FL 32901-3221. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ashton, Stacey Elizabeth can be contacted via phone (321) 312-3494.

Contact Information

Primary practice address
1251 Hickory St Melbourne FL 32901-3221
Phone: (321) 312-3494
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9106270 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106270 Florida

Profile Details

NPI number 1205112471
LBN Legal business name Ashton, Stacey Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2011
Last updated Oct 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205112471 NPPES
Florida MEDICAID 023616000
Florida Other FU777Y
Florida Other FU777X
Florida Other Y0HR3

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