Malcolm Stacy JR.

NPI #1003288598 in Gainesville, Florida

Provider Information

NPI Number
1003288598
Entity Type
Individual
Name
Malcolm Stacy JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse's Aide
Enumeration Date
Oct 23, 2015
Last Updated
Oct 23, 2015

Practice Location

Address
4300 SW 13TH ST
State
Florida
ZIP Code
32608-4006
Phone
(352) 374-5600

Specialties & Taxonomy Codes

Specialty
Nurse's Aide

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