Livingston, Stephanie Stine

Livingston, Stephanie Stine is an individual health care provider with primary practice located at 1540 S Tamiami Trl Suite303, Sarasota FL 34239-2930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Livingston, Stephanie Stine can be contacted via phone (941) 917-8791.

Contact Information

Primary practice address
1540 S Tamiami Trl Suite303 Sarasota FL 34239-2930
Phone: (941) 917-8791
Fax: (917) 917-8793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104497 Florida

Profile Details

NPI number 1174701965
LBN Legal business name Livingston, Stephanie Stine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2008
Last updated Jul 26th, 2019 - about 6 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 1174701965 NPPES
Florida Other 33181 BCBS FL
Florida MEDICAID 293076500 BCBS FL

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