Stout, Stacey J

Stout, Stacey J is an individual health care provider with primary practice located at 6080 Boynton Beach Blvd Ste 240 , Boynton Beach FL 33437-3586. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stout, Stacey J can be contacted via phone (561) 509-5009.

Contact Information

Primary practice address
6080 Boynton Beach Blvd Ste 240 Boynton Beach FL 33437-3586
Fax: (561) 738-0556
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0095291 Florida

Profile Details

NPI number 1356389068
LBN Legal business name Stout, Stacey J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 18th, 2020 - about 4 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 1356389068 NPPES
Florida MEDICAID 0275511400
Florida Other 68810

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