Organization
HEATHER STANLEY-CHRISTIAN, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER STANLEY-CHRISTIAN MD (OWNER / MEDICAL DIRECTOR)
(352) 404-5544
Entity
Organization
Contact information
Practice address
17323 PAGONIA DR STE 227, CLERMONT, FL 34711-5997
(352) 404-5544
(352) 404-5912
Mailing address
17323 PAGONIA DR STE 227, CLERMONT, FL 34711-5997
(352) 404-5544
(352) 404-5912
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100427600
—
FL
Enumeration date
05/04/2019
Last updated
01/13/2020
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