Staci Lorenzo Suits, is a
Psychologist - School based in Green Cove Springs, Florida. Staci Lorenzo Suits is licensed to practice in Florida (license number 1454) and her current practice location is
623 Oak St, Green Cove Springs, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 531-9752.
NPI number for Staci Lorenzo Suits is 1154976652 and her current mailing address is 2313 Old Pine Trl, Orange Park, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154976652.
Healthcare Provider's Profile
| Full Name | Staci Lorenzo Suits |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 623 Oak St, Green Cove Springs, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154976652
- Provider Enumeration Date: 08/02/2019
- Last Update Date: 08/02/2019
Medical Identifiers
Medical identifiers for Staci Lorenzo Suits such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154976652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | 1454 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Staci Lorenzo Suits is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Staci Lorenzo Suits,
2313 Old Pine Trl,
Orange Park, FL 32003-4916
Ph: (904) 703-8498 | Staci Lorenzo Suits,
623 Oak St,
Green Cove Springs, FL 32043-4313
Ph: (904) 531-9752 |
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