Individual
STACI M FORINASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 993-4601
(863) 491-7564
Mailing address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 993-4601
(863) 491-7564
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5201811
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5201811
STATE LICENSE
FL
Enumeration date
02/01/2012
Last updated
06/23/2025
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