Stafford, Mauvalin Cecille

Stafford, Mauvalin Cecille is an individual health care provider with primary practice located at 8132 Okeechobee Blvd Suite B, West Palm Beach FL 33411-2000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stafford, Mauvalin Cecille can be contacted via phone (561) 228-1330.

Contact Information

Primary practice address
8132 Okeechobee Blvd Suite B West Palm Beach FL 33411-2000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2684232 Florida

Profile Details

NPI number 1982765079
LBN Legal business name Stafford, Mauvalin Cecille
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jan 12th, 2009 - about 15 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 1982765079 NPPES
Florida MEDICAID 308597000

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