Pappas, Stacey Jeanne

Pappas, Stacey Jeanne is an individual health care provider with primary practice located at 1381 S Patrick Dr , Patrick Afb FL 32925-3606. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Pappas, Stacey Jeanne can be contacted via phone (321) 494-8423.

Contact Information

Primary practice address
1381 S Patrick Dr Patrick Afb FL 32925-3606
Phone: (321) 494-8423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 250816 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME93828 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C1-0008341 Delaware

Profile Details

NPI number 1124129358
LBN Legal business name Pappas, Stacey Jeanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 1st, 2024 - about last year

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 1124129358 NPPES
Florida MEDICAID 274079600

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