Individual
DR. STEPHANIE FLAHERTY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 733-1770
(352) 372-5164
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 733-1770
(352) 372-5164
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A85531
CA
208000000X
Pediatrics Physician
Primary
ME106302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002483000
—
FL
Enumeration date
12/09/2005
Last updated
11/24/2010
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