Stacy Lynn Perez is a Specialist in Brandon, Florida. Stacy Lynn Perez practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stacy Lynn Perez is 1518964253. The last update date is 2007-07-09.
Stacy Lynn Perez's current location address is 621 Medical Care Dr, Brandon, Florida. You can contact this provider via phone number 8136573330 and fax number 8136573348. The mailing address for Stacy Lynn Perez is 621 Medical Care Dr, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacy Lynn Perez |
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Address | 621 Medical Care Dr, Brandon, Florida |
Phone Number | 8136573330 |
Fax Number | 8136573348 |
Sole Proprietor | X |
Credentials | MD |
NPI Number Detail
NPI Number | 1518964253 |
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Provider Enumeration Date | 2005-07-07 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 621 Medical Care Dr |
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City | Brandon |
State | Florida (FL) |
Post Code | 335115942 |
Phone Number | 8136573330 |
Fax Number | 8136573348 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | ME75014 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
62798 | FL | BC/BS |
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What is the Stacy Lynn Perez's unique identification number?
The Stacy Lynn Perez has been assigned the NPI (National Provider Identifier) Number 1518964253 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Stacy Lynn Perez located?
The Stacy Lynn Perez is located at 621 Medical Care Dr, Brandon, FL 335115942.
What is Stacy Lynn Perez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy Lynn Perez is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When was the Stacy Lynn Perez's 1518964253 issued?
The Stacy Lynn Perez's 1518964253 was issued on 2005-07-07.
As of what date were the details related to Stacy Lynn Perez most recently updated or revised?
The information pertaining to Stacy Lynn Perez, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.