Individual
STACIE G HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROSTHESIS TRAINER
Contact information
Practice address
801 W STATE ROAD 436 STE 2013, ALTAMONTE SPRINGS, FL 32714-3053
(407) 844-3205
(407) 917-9688
Mailing address
818 RENAISSANCE POINTE, ALTAMONTE SPRINGS, FL 32714-3537
(407) 844-3205
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/01/2020
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