Individual
STACEY B SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1740 SE 18TH ST STE 1102, OCALA, FL 34471-5447
(352) 512-0092
(352) 512-0093
Mailing address
1740 SE 18TH ST STE 1102, OCALA, FL 34471-5447
(352) 512-0092
(352) 512-0093
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9103625
MEDICAL LICENSE
FL
Enumeration date
10/03/2006
Last updated
05/13/2021
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