Individual
STACEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 S STATE ROAD 7 STE 243, MIRAMAR, FL 33023-5289
(954) 751-6700
Mailing address
3600 S STATE ROAD 7 STE 243, MIRAMAR, FL 33023-5289
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
30212165
FL
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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