Shore, Stacy

Shore, Stacy is an sole proprietor health care provider with primary practice located at 120 Nw 28Th St , Gainesville FL 32607-2511. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Shore, Stacy can be contacted via phone (352) 246-5384.

Contact Information

Primary practice address
120 Nw 28Th St Gainesville FL 32607-2511
Phone: (352) 246-5384
Fax: (352) 376-0126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT7559 Florida

Profile Details

NPI number 1780807289
LBN Legal business name Shore, Stacy
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
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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