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Organization
STACI APPLETON, MDPA
Active
Organization
STACI APPLETON, MDPA
Active
Other names
Appleton Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI BROWN (OFFICE MANAGER)
(386) 957-3999
Entity
Organization
Contact information
Practice address
2327 S RIDGEWOOD AVE, EDGEWATER, FL 32141-4228
(386) 957-3999
(386) 402-7920
Mailing address
PO BOX 278, NEW SMYRNA BEACH, FL 32170-0278
(386) 957-3999
(386) 402-7920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME67829
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377693000
—
FL
Enumeration date
08/09/2013
Last updated
09/01/2026
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