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Individual

STACEY J STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6080 BOYNTON BEACH BLVD STE 240, BOYNTON BEACH, FL 33437-3586
(561) 509-5009
(561) 738-0556
Mailing address
2000 PALM BEACH LAKES BLVD STE 901, WEST PALM BEACH, FL 33409-6506
(561) 509-5009
(561) 738-1822

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0095291
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0275511400
FL
01
68810
BCBS OF FL
FL
Enumeration date
06/03/2006
Last updated
09/23/2025
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