Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC006817 | PA |
NPI | 1063933653 |
---|---|
Provider Name | Stephanie R Florence |
First Address | Wellsboro, PA 16901-1813 |
Second Address | Wellsboro, PA 16901-1813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2017 |
Last Update Date | 05/07/2017 |