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
Phone: (561) 509-5009
Fax: (561) 738-0556
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356389068 | NPPES |
| Florida | MEDICAID | 0275511400 | |
| Florida | Other | 68810 |
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