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Stacy Bodine
Student in an Organized Health Care Education/Training Program in Lakeland, Florida
NPI 1639534399

Stacy Bodine is a Student in an Organized Health Care Education/Training Program based in Redlands, FL. Stacy Bodine practices in Lakeland, FL. The NPI Number for Stacy Bodine is 1639534399 and holds a License No. (Florida).

The current practice location address for Stacy Bodine is 111 Lake Hollingsworth Dr, Lakeland, FL and can be reached out via phone at 909-206-3717.

Location: 111 Lake Hollingsworth Dr, Lakeland, FL, 92374-5581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639534399
Provider Name
Stacy Bodine
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 Lake Hollingsworth Dr, Lakeland, FL, 92374-5581
Phone Number
909-206-3717
Fax Number
Provider Enumeration Date
12/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Lake Hollingsworth Dr
City
Lakeland
State
Florida
Zip
33801
Phone Number
909-206-3717
Fax Number
person
Provider Business Mailing Address Details
Address
111 Lake Hollingsworth Dr
City
Lakeland
State
Florida
Zip
33801
Phone Number
909-206-3717
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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