NPI 1003188087
Shane Stich
Practice location
- Address
- 175 Wrenn St, Tavernier, FL 33070-2335
- Phone
- (305) 809-5000
- Fax
- (305) 809-5010
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003188087
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Feb 2012
- Record last updated
- 6 Feb 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.