Blackmon, Stacia

Blackmon, Stacia is an individual health care provider with primary practice located at 3932 N 10Th Ave , Pensacola FL 32503-2807. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Blackmon, Stacia can be contacted via phone (854) 434-7755.

Contact Information

Primary practice address
3932 N 10Th Ave Pensacola FL 32503-2807
Phone: (854) 434-7755
Fax: (850) 469-0858
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida

Profile Details

NPI number 1447714332
LBN Legal business name Blackmon, Stacia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2019
Last updated Jan 25th, 2019 - about 5 years ago

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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