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Individual

CAITLIN STOUFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CH

Contact information

Practice address
4371 NORTHLAKE BLVD # 203, PALM BEACH GARDENS, FL 33410-6253
(561) 775-4900
(561) 775-0003
Mailing address
4371 NORTHLAKE BLVD # 203, PALM BEACH GARDENS, FL 33410-6253
(561) 775-4900
(561) 775-0003

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12318
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111NOOOOOX
TAXONOMY
FL
01
CH12318
MEDICAL LICENSE NUMBER
FL
Enumeration date
10/17/2017
Last updated
10/17/2017
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