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NPI Profile for STACY P SMITH in VERO BEACH, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1316930886 |
|
| Status | Active | |
| Credentials | C-PA | |
| Entity | Individual | |
| Enumeration date | 08/30/2005 | |
| Last updated | 05/30/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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STACY P SMITH
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STACY P SMITH, C-PA