Perez, Stacy Lynn

Perez, Stacy Lynn is an individual health care provider with primary practice located at 621 Medical Care Dr , Brandon FL 33511-5942. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Perez, Stacy Lynn can be contacted via phone (813) 657-3330.

Contact Information

Primary practice address
621 Medical Care Dr Brandon FL 33511-5942
Phone: (813) 657-3330
Fax: (813) 657-3348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME75014 Florida

Profile Details

NPI number 1518964253
LBN Legal business name Perez, Stacy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 9th, 2007 - about 17 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 1518964253 NPPES
Florida Other 62798 BC/BS

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