Individual
DR. STACY LYNN WITFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
11786 CEDAR ST, DUNNELLON, FL 34431-6770
(352) 489-6621
Mailing address
PO BOX 2633, DUNNELLON, FL 34430-2633
(352) 489-6621
(352) 489-6920
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2759
FL
Other
Enumeration date
11/14/2007
Last updated
01/07/2008
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