Stacy Shore is a Pediatrics in Gainesville, Florida. Stacy Shore practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacy Shore is 1780807289. The last update date is 2007-07-09.
Stacy Shore's current location address is 379 Maguire Vlg Apt 6, Gainesville, Florida. You can contact this provider via phone number 3528465492. The mailing address for Stacy Shore is 379 Maguire Vlg Apt 6, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Shore |
|---|---|
| Address | 379 Maguire Vlg Apt 6, Gainesville, Florida |
| Phone Number | 3528465492 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1780807289 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 379 Maguire Vlg Apt 6 |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326032079 |
| Phone Number | 3528465492 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OT7559 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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What is the unique 10-digit identifier code assigned to Stacy Shore by the Centers for Medicare & Medicaid Services?
The Stacy Shore has been issued the NPI (National Provider Identifier) 1780807289 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Stacy Shore is physically located?
The Stacy Shore is physically situated at the following address: 379 Maguire Vlg Apt 6, Gainesville, FL, 326032079.
What is Stacy Shore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy Shore's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 225Xp0200X.
On what date was the 1780807289 assigned to Stacy Shore?
The Stacy Shore was issued its 1780807289 on 2007-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Stacy Shore's information last updated?
The Stacy Shore's information was last updated on 2007-07-09.
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