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Organization
STACY HOLDER DPM PA
Active
Organization
STACY HOLDER DPM PA
Active
Other names
Paradigm Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY HOLDER SHEWPRASHAD D.P.M. (OWNER)
(954) 391-7674
Entity
Organization
Contact information
Practice address
1791 NW 123RD AVE, PEMBROKE PINES, FL 33026-4383
(954) 391-7674
(954) 374-6958
Mailing address
1791 NW 123RD AVE, PEMBROKE PINES, FL 33026-4383
(954) 391-7674
(954) 374-6958
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3583
FL
Other
Enumeration date
12/19/2013
Last updated
06/10/2014
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