Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | ME104036 | FL |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME104036 | FL |
NPI | 1306818133 |
---|---|
Provider Name | Dr. Heather Stanley-Christian |
First Address | Clermont, FL 34711-5997 |
Second Address | Clermont, FL 34711-5997 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 13/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100427600 | (05) | FL |
G95931 | (02) | MD |