Pickering, Stacey E.

Pickering, Stacey E. is an individual health care provider with primary practice located at 1071 S Sun Dr Ste 1003 , Lake Mary FL 32746-2573. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Pickering, Stacey E. can be contacted via phone (407) 302-2620.

Contact Information

Primary practice address
1071 S Sun Dr Ste 1003 Lake Mary FL 32746-2573
Phone: (407) 302-2620
Fax: (407) 302-2690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9162428 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X ARNP9162428 Florida

Profile Details

NPI number 1265429518
LBN Legal business name Pickering, Stacey E.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Feb 29th, 2024 - about 9 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 1265429518 NPPES
Florida MEDICAID 3066398-00

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