Peddy, Stacie B

Peddy, Stacie B is an individual health care provider with primary practice located at 3100 Sw 62Nd Ave , Miami FL 33155-3009. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Peddy, Stacie B can be contacted via phone (305) 666-6511.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Miami FL 33155-3009
Phone: (305) 666-6511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD426570 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD426570 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD426570 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X D92544 Maryland
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME167338 Florida

Profile Details

NPI number 1700805090
LBN Legal business name Peddy, Stacie B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 2nd, 2024 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700805090 NPPES
Pennsylvania MEDICAID 101470283
Pennsylvania Other 242289EMD
Pennsylvania MEDICAID 0092967
Pennsylvania MEDICAID 659065900

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