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:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1124129358 | NPPES |
Florida | MEDICAID | 274079600 |
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