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1881847382
STACEY LEE FARMER
KISSIMMEE, FL
NPI
1881847382
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Former Name
STACEY AMARI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9104661)
Enumeration Date
2008-10-28
Last Update Date
2022-07-21
Business Address
-- STACEY LEE FARMER PA
841 EAST OAK STREET
KISSIMMEE, FL 34744-5838
Phone number: 407-847-2050
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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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