Stacey Ann South
General Practice Physician Gynecologic Oncologist
3425 University Pkwy Unit 102
Sarasota
, Florida 34243-4271
Stacey Ann South
General Practice Physician Gynecologic Oncologist
3425 University Pkwy Unit 102
Sarasota
, Florida 34243-4271
(941) 351-3668
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About
Features
Specialties
- Gynecologic Oncologist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Stacey Ann South
- 367 S. Gulph Road Att: Ipm Credentialing
- King Of Prussia, PA
- Zip : 19406-3121
- Fax : (941) 351-3668
- Phone : (941) 746-7507
Second Address
- Stacey Ann South
- 3425 University Pkwy Unit 102
- Sarasota, FL
- Zip : 34243-4271
- Fax : (941) 351-2668
- Phone : (941) 746-7507
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | ME101589 | FL |
| N | 208D00000X | General Practice Physician | 236615 | NY |
National Provider Identifier
| NPI | 1336368547 |
|---|---|
| Provider Name | Stacey Ann South |
| First Address | King Of Prussia, PA 19406-3121 |
| Second Address | Sarasota, FL 34243-4271 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2007 |
| Last Update Date | 20/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I14778 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.