Hammoud, Stacie Lee

Hammoud, Stacie Lee is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Hammoud, Stacie Lee can be contacted via phone (321) 434-7000.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 434-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9285590 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9285590 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN9285590 Florida

Profile Details

NPI number 1194252601
LBN Legal business name Hammoud, Stacie Lee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2017
Last updated Apr 2nd, 2024 - about 7 months 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 1194252601 NPPES
Florida Other IZ363Z MEDICARE
Florida MEDICAID 20990000 MEDICARE

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