Individual
MS. STACIE DENISE ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 W OAKLAND PARK BLVD, SUITE 650, OAKLAND PARK, FL 33311-1419
(954) 731-8097
(954) 733-6892
Mailing address
2900 NW 125TH AVE, APT. 320, SUNRISE, FL 33323-6329
(561) 706-7437
(561) 740-9515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA23625
FL
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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