Zide, Stacy

Zide, Stacy is an individual health care provider with primary practice located at 1610 Ne Miami Gardens Dr , North Miami Beach FL 33179-4900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Zide, Stacy can be contacted via phone (305) 940-6001.

Contact Information

Primary practice address
1610 Ne Miami Gardens Dr North Miami Beach FL 33179-4900
Phone: (305) 940-6001
Fax: (305) 940-6016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME88087 Florida

Profile Details

NPI number 1144219304
LBN Legal business name Zide, Stacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Oct 9th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144219304 NPPES
Florida MEDICAID 270646600

Popular Providers