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:
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194252601 | NPPES |
Florida | Other | IZ363Z | MEDICARE |
Florida | MEDICAID | 20990000 | MEDICARE |
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