SearchFlorida163W00000X

Stacie O'Brien

NPI 1437021219 · on the registry since 2025

Practice

Address
630 Roberts Rd
Jacksonville, FL 32259
Phone
(952) 201-5375

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida