Stafford, Andrew
Stafford, Andrew is an individual health care provider with primary practice located at 5703 Red Bug Lake Rd # 166, Winter Springs FL 32708-4969. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Stafford, Andrew can be contacted via phone (407) 948-9731.Contact Information
Primary practice address
5703 Red Bug Lake Rd # 166
Winter Springs FL 32708-4969
Phone: (407) 948-9731
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9207634 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 9207634 | Florida |
Profile Details
NPI number | 1972887107 |
---|---|
LBN Legal business name | Stafford, Andrew |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2011 |
Last updated | Mar 21st, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972887107 | NPPES |
Florida | MEDICAID | 007200300 |
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