Individual
STEPHANIE L. MCCARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6163 MAPLEWOOD DR, NEW PORT RICHEY, FL 34653-4734
(727) 457-5668
Mailing address
6163 MAPLEWOOD DR, NEW PORT RICHEY, FL 34653-4734
(727) 457-5668
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1422294
—
FL
Enumeration date
04/14/2014
Last updated
03/31/2017
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