Individual
STACY XAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 609-3010
Mailing address
13112 HEATHER MOSS DR APT 605, ORLANDO, FL 32837-5532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9488261
FL
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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