Individual
MS. STACY ANN BAHADUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7871 NW 15TH ST, PEMBROKE PINES, FL 33024-5169
(954) 800-5433
Mailing address
5890 S PINE ISLAND RD, DAVIE, FL 33328-5937
(954) 800-5433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9416865
FL
Other
Enumeration date
11/18/2025
Last updated
11/19/2025
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