Individual
MS. STACEY HENRY COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13749 VICTOR AVE, HUDSON, FL 34667-2500
(813) 714-2888
Mailing address
13749 VICTOR AVE, HUDSON, FL 34667-2500
(813) 714-2888
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
APRN9236814
FL
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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