Individual
STACY P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-PA
Contact information
Practice address
1040 37TH PL STE 201, VERO BEACH, FL 32960
(772) 492-7051
(772) 492-7048
Mailing address
1040 37TH PL STE 201, VERO BEACH, FL 32960-4818
(772) 492-7051
(772) 492-7048
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101489
FL
Other
Enumeration date
08/30/2005
Last updated
05/30/2018
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