Search › Florida › 2255A2300X

Ian Stites, LAT, ATC

NPI 1497148191 · on the registry since 2015

Practice

Address
O&C Bldg M7 0355 Mail Code Iha 008
Kennedy Space Center, FL 32899
Phone
(321) 867-8004
Fax
(321) 867-1144

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-03-05

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