Manderson, Stacey Ann

Manderson, Stacey Ann is an sole proprietor health care provider with primary practice located at 985 Caligula Ave Se , Palm Bay FL 32909-4754. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Manderson, Stacey Ann can be contacted via phone (321) 419-6945.

Contact Information

Primary practice address
985 Caligula Ave Se Palm Bay FL 32909-4754
Phone: (321) 419-6945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Florida

Profile Details

NPI number 1417630807
LBN Legal business name Manderson, Stacey Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2023
Last updated Aug 10th, 2023 - about 2 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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