Stone Surgery Clinic in Defuniak Springs - Nurse Practitioner
Stone Surgery Clinic - NPI 1073718664
Stone Surgery Clinic is a Nurse Practitioner in Defuniak Springs, Florida. Stone Surgery Clinic practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Stone Surgery Clinic is 1073718664. The last update date is 2020-08-22.
Stone Surgery Clinic's current location address is 4417 Us Hwy 331 S, Defuniak Springs, Florida. You can contact this provider via phone number 8509514638 and fax number 8509514554. The mailing address for Stone Surgery Clinic is 4417 Us Hwy 331 S, Defuniak Springs, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stone Surgery Clinic |
|---|---|
| Address | 4417 Us Hwy 331 S, Defuniak Springs, Florida |
| Phone Number | 8509514638 |
| Fax Number | 8509514554 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Ward Donna |
| Telephone Number | 8509514638 |
NPI Number Detail
| NPI Number | 1073718664 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4417 Us Hwy 331 S |
|---|---|
| City | Defuniak Springs |
| State | Florida (FL) |
| Post Code | 324356703 |
| Phone Number | 8509514638 |
| Fax Number | 8509514554 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 3024682 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Stone Surgery Clinic by the Centers for Medicare & Medicaid Services?
The Stone Surgery Clinic has been issued the NPI (National Provider Identifier) 1073718664 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Stone Surgery Clinic is located?
The Stone Surgery Clinic is situated at the following address: 4417 Us Hwy 331 S, Defuniak Springs, FL, 324356703.
What is Stone Surgery Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stone Surgery Clinic is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073718664 to Stone Surgery Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1073718664 to Stone Surgery Clinic on 2007-06-15.
When was the information regarding Stone Surgery Clinic most recently updated?
The details pertaining to the Stone Surgery Clinic, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.