MISS KARON ELAINE STAGG


Address: 20158 Cortez Blvb, Brookesville, FL 34601
Phone: 3527960069

MISS KARON ELAINE STAGG (NPI# 1245868702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245868702
Entity Type Individual
Full Name MISS KARON ELAINE STAGG
Credential SLP-A
Practice Address 20158 Cortez Blvb
Brookesville
FL 34601
Mailing Address 12838 Coverdale Dr
Tampa
FL 33624-4001
Practice Telephone 3527960069
Mailing Telephone 9412648794
Enumeration Date 2020-03-31
Last Update Date 2020-03-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
SI3790 FL Speech, Language and Hearing Service Providers

Office Location

Street Address 20158 CORTEZ BLVB
City BROOKESVILLE
State FL
Zip Code 34601

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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

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1831796507 Maggie Christine Miller Specialist/Technologist 3670 Nw 83rd Ln, Sunrise, FL 33351-1132 2020-10-06
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1962018739 Briana Luckie Savastano Specialist/Technologist 111 E Lake Mary Blvd Ste 113, Sanford, FL 32773-7111 2020-09-17
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Competitor

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City BROOKESVILLE
Zip Code 34601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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