Fessette, Stacie Quinn

Fessette, Stacie Quinn is an individual health care provider with primary practice located at 2835 W De Leon St Suite #101, Tampa FL 33609-4130. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Fessette, Stacie Quinn can be contacted via phone (813) 254-6592.

Contact Information

Primary practice address
2835 W De Leon St Suite #101 Tampa FL 33609-4130
Phone: (813) 254-6592
Fax: (813) 254-3634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3325 Florida

Profile Details

NPI number 1336328673
LBN Legal business name Fessette, Stacie Quinn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2007
Last updated Jul 11th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336328673 NPPES
Florida Other 65A03 BCBS
Florida Other CQ633Z BCBS
Florida Other CQ633Y BCBS
Florida Other P00829933 BCBS

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