Individual
DARRICK LEE STUDSTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
255 PRIMERA BLVD STE 160, LAKE MARY, FL 32746-2168
(407) 887-0245
Mailing address
255 PRIMERA BLVD STE 160, LAKE MARY, FL 32746-2168
(407) 887-0245
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9560860
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704268271
MI
Other
Enumeration date
05/21/2013
Last updated
02/22/2022
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