Pamelyn Racquel Stuckey in Orlando - Physician Assistant
Pamelyn Racquel Stuckey - NPI 1972676609
Pamelyn Racquel Stuckey is a Physician Assistant in Orlando, Florida. Pamelyn Racquel Stuckey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Pamelyn Racquel Stuckey is 1972676609. The last update date is 2007-07-08.
Pamelyn Racquel Stuckey's current location address is 5804 Lake Underhill Rd, Orlando, Florida. You can contact this provider via phone number 4073841718. The mailing address for Pamelyn Racquel Stuckey is 5804 Lake Underhill Rd, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamelyn Racquel Stuckey |
|---|---|
| Address | 5804 Lake Underhill Rd, Orlando, Florida |
| Phone Number | 4073841718 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972676609 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5804 Lake Underhill Rd |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328074366 |
| Phone Number | 4073841718 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103997 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Pamelyn Racquel Stuckey by the Centers for Medicare & Medicaid Services?
The Pamelyn Racquel Stuckey has been issued the NPI (National Provider Identifier) 1972676609, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Pamelyn Racquel Stuckey is located?
The Pamelyn Racquel Stuckey is situated at the following address: 5804 Lake Underhill Rd, Orlando, FL, 328074366.
What is Pamelyn Racquel Stuckey's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pamelyn Racquel Stuckey is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972676609 to Pamelyn Racquel Stuckey?
The Centers for Medicare & Medicaid Services assigned the 1972676609 to Pamelyn Racquel Stuckey on 2006-11-17.
As of what date were the Pamelyn Racquel Stuckey's details last updated?
The information pertaining to the Pamelyn Racquel Stuckey, including its address, specialty, and other details, was most recently updated on 2007-07-08.