STACEY LEE FARMER

KISSIMMEE, FL
NPI1881847382
Former NameSTACEY AMARI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9104661)
Enumeration Date2008-10-28
Last Update Date2022-07-21
Business Address
STACEY LEE FARMER PA
841 EAST OAK STREET
KISSIMMEE, FL 34744-5838
Phone number: 407-847-2050
Mailing Address
STACEY LEE FARMER PA
10140 CENTURION PARKWAY N PROVIDER ENROLLMENT DEPARTMENT
JACKSONVILLE, FL 32256-0532
Phone number: 904-697-4127
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