Stacy Greeter, Md, Pllc | |
9030 58th Dr E Suite 101a, Room A Bradenton FL 34202-6108 | |
(941) 413-0834 | |
(941) 761-5547 |
Full Name | Stacy Greeter, Md, Pllc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 9030 58th Dr E, Bradenton, Florida |
Authorized Official Name and Position | Stacy Lynn Greeter (PHYSICIAN) |
Authorized Official Contact | 9042280777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stacy Greeter, Md, Pllc 9030 58th Dr E Suite 101a, Room A Bradenton FL 34202-6108 Ph: (941) 413-0834 | Stacy Greeter, Md, Pllc 9030 58th Dr E Suite 101a, Room A Bradenton FL 34202-6108 Ph: (941) 413-0834 |
NPI Number | 1700311818 |
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Provider Enumeration Date | 04/26/2017 |
Last Update Date | 04/26/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700311818 | NPI | - | NPPES |
1215257845 | Other | FL | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | ME 128423 (Florida) | Primary |
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