Individual
STACIE ANN DORMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S OLEANDER AVE, DAYTONA BEACH, FL 32118-4324
(386) 589-5097
Mailing address
104 S OLEANDER AVE, DAYTONA BEACH, FL 32118-4324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9216599
FL
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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