NPI 1003288598
Malcolm Stacy
Practice location
- Address
- 4300 SW 13th St, Gainesville, FL 32608-4006
- Phone
- (352) 374-5600
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1003288598
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Oct 2015
- Record last updated
- 23 Oct 2015
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.