Individual
CYNTHIA MACE STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 374-6005
Mailing address
1523 NW 12TH RD, GAINESVILLE, FL 32605-5329
(352) 376-1611
(352) 379-4055
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0977232
FL
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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