Individual
KRISTY STAUBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S MCCALL RD STE D, ENGLEWOOD, FL 34223-4500
(941) 300-6426
Mailing address
5285 FARLEY ST, PORT CHARLOTTE, FL 33981-5026
(318) 820-7770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9557723
FL
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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