Johnson, Stacey

Johnson, Stacey is an sole proprietor health care provider with primary practice located at 1002 S Dillard St Ste 106 , Winter Garden FL 34787-3991. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Johnson, Stacey can be contacted via phone (407) 877-0029.

Contact Information

Primary practice address
1002 S Dillard St Ste 106 Winter Garden FL 34787-3991
Phone: (407) 877-0029
Fax: (407) 358-5207
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1003441379
LBN Legal business name Johnson, Stacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2020
Last updated Mar 6th, 2020 - about 4 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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