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1316930886
STACY P SMITH
VERO BEACH, FL
NPI
1316930886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9101489)
Enumeration Date
2005-08-30
Last Update Date
2018-05-30
Business Address
STACY P SMITH C-PA
1040 37TH PL STE 201
VERO BEACH, FL 32960
Phone number: 772-492-7051
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Mailing Address
STACY P SMITH C-PA
1040 37TH PL STE 201
VERO BEACH, FL 32960-4818
Phone number: 772-492-7051
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