Brink, Stacia
Brink, Stacia is an individual health care provider with primary practice located at 7710 S Us Highway 1 , Port St Lucie FL 34952-2320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brink, Stacia can be contacted via phone (772) 335-5300.Contact Information
Primary practice address
7710 S Us Highway 1
Port St Lucie FL 34952-2320
Phone: (772) 335-5300
Fax: (772) 878-7602
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9106503 | Florida |
Profile Details
NPI number | 1770842452 |
---|---|
LBN Legal business name | Brink, Stacia |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2012 |
Last updated | Sep 20th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770842452 | NPPES |
Florida | Other | Y0AK5 | BCBS |
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