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NPI Code Detail

MEDICARE: STACIE GINSBERG DO PA

MEDICARE: STACIE GINSBERG DO PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS7626FL

General Provider Information

NPI Number : 1184666596
Entity Type Code : Organization
Provider Name (Legal Business Name) : STACIE GINSBERG DO PA
Provider Business Mailing Address
First Line : 5441 N UNIVERSITY DR
Second Line : SUITE 101
City : CORAL SPRINGS
State : FL
Zip : 33067-4640
Country : US
Telephone Number : 954-692-1044
Fax Number : 954-753-3857
Provider Business Practice Location Address
First Line : 5441 N UNIVERSITY DR
Second Line : SUITE 101
City : CORAL SPRINGS
State : FL
Zip : 33067-4640
Country : US
Telephone Number : 954-692-1044
Fax Number : 954-753-3857
Authorized Official
Title or Position : PRESIDENT
Name : STACIE GINSBERG
Credential : D.O.
Telephone Number : 954-692-1044
Provider Enumeration Date : 06/11/2006
Last Update Date : 01/28/2008

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Directions to “STACIE GINSBERG DO PA ” Practice Location

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