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NPI Code Detail

MEDICARE: RENEE ANN STOICOVY

MEDICARE:   RENEE ANN STOICOVY
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
1390200000XStudent in an Organized Health Care Education/Training ProgramPSI45931FL

General Provider Information

NPI Number : 1891575502
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE ANN STOICOVY
Provider Business Mailing Address
First Line : 555 NE 8TH ST APT 518
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33304-2896
Country : US
Telephone Number : 814-450-6440
Fax Number :
Provider Business Practice Location Address
First Line : 555 NE 8TH ST APT 518
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33304-2896
Country : US
Telephone Number : 814-450-6440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2023
Last Update Date : 10/02/2023

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Directions to “ RENEE ANN STOICOVY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.