Stacie Quinn Fessette in Tampa - Foot & Ankle Surgery

Stacie Quinn Fessette - NPI 1336328673

Stacie Quinn Fessette is a Foot & Ankle Surgery in Tampa, Florida. Stacie Quinn Fessette practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Stacie Quinn Fessette is 1336328673. The last update date is 2011-07-11.

Stacie Quinn Fessette's current location address is 2835 W De Leon St, Tampa, Florida. You can contact this provider via phone number 8132546592 and fax number 8132543634. The mailing address for Stacie Quinn Fessette is 2835 W De Leon St, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacie Quinn Fessette
Address 2835 W De Leon St, Tampa, Florida
Phone Number 8132546592
Fax Number 8132543634
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1336328673
Provider Enumeration Date 2007-11-02
Last Updated Date 2011-07-11

Provider Mailing Address Detail

Address 2835 W De Leon St
City Tampa
State Florida (FL)
Post Code 336094130
Phone Number 8132546592
Fax Number 8132543634

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No PO3325
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
65A03 FL BCBS
CQ633Z FL MEDIARE PTAN
CQ633Y MEDICARE PTAN
P00829933 FL RR MEDICARE

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FAQs about Stacie Quinn Fessette

What is the unique identifier code issued to Stacie Quinn Fessette by the Centers for Medicare & Medicaid Services (CMS)?

The Stacie Quinn Fessette has been assigned the NPI (National Provider Identifier) 1336328673. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Stacie Quinn Fessette is geographically located?

The Stacie Quinn Fessette is physically situated at the following location: 2835 W De Leon St, Tampa, FL, 336094130.

What is the Stacie Quinn Fessette's area of specialization and corresponding taxonomy classification?

The Stacie Quinn Fessette's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1336328673 to Stacie Quinn Fessette?

The Centers for Medicare & Medicaid Services assigned the 1336328673 to Stacie Quinn Fessette on 2007-11-02.

As of what date were the details pertaining to Stacie Quinn Fessette last refreshed?

The information related to the Stacie Quinn Fessette, including its address, specialty, and other relevant details, was last updated on 2011-07-11.

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