Organization
STACY HOLDER DPM PA
Active
Other names
Paradigm Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY HOLDER SHEWPRASHAD D.P.M. (OWNER)
(954) 391-7674
Entity
Organization
Contact information
Practice address
1791 NW 123RD AVE, PEMBROKE PINES, FL 33026-4383
(954) 391-7674
(954) 374-6958
Mailing address
1791 NW 123RD AVE, PEMBROKE PINES, FL 33026-4383
(954) 391-7674
(954) 374-6958
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3583
FL
Other
Enumeration date
12/19/2013
Last updated
06/10/2014
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