Stacey McFadden, P.A.-C.
Physician Assistant, Medical in Hallandale Beach, FL. Individual provider (NPI-1).
NPI number1982154548
StatusActive
Last updated in NPPESSep 7, 2018
Details
- NPI
- 1982154548
- Entity type
- Individual (NPI-1)
- Name
- Stacey McFadden
- Credential
- P.A.-C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2016
- Last updated
- Sep 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA9109862 | FL | Yes |
Practice location
1117 E Hallandale Beach BlvdHallandale Beach, FL 33009-4488
Phone 954-454-6300 · Fax 954-241-6908
Mailing address
4341 Bougainvilla DrLauderdale By The Sea, FL 33308-5017
Phone 954-492-8866 · Fax 954-337-8180
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