STEPHANIE PATRICIA HAUBROCK


Address: 14154 Shocklach Dr, Winter Garden, FL 34787-4741
Phone: 5136580249

STEPHANIE PATRICIA HAUBROCK (NPI# 1780163600) 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) 1780163600
Entity Type Individual
Full Name STEPHANIE PATRICIA HAUBROCK
Credential NP-C
Practice Address 14154 Shocklach Dr
Winter Garden
FL 34787-4741
Practice Telephone 5136580249
Enumeration Date 2018-08-10
Last Update Date 2018-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
9491301 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 14154 SHOCKLACH DR
City WINTER GARDEN
State FL
Zip Code 34787-4741

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1871078089 Alton Graydon Cumberbatch Sr. Pharmacist 646 S. Dillard Street, Winter Garden, FL 34787 2018-10-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770190530 Kimberly Keech Nurse Practitioner 1452 Scarlet Oak Loop, Winter Garden, FL 34787-6156 2020-09-25
1124638911 Wesley Labour Nurse Practitioner 14628 Porter Rd, Winter Garden, FL 34787-8784 2020-08-05
1770102923 Nittaya Johnson Nurse Practitioner 14767 Porter Rd, Winter Garden, FL 34787-8824 2020-04-08
1366097685 Tam Thi Hue Nguyen Nurse Practitioner 1554 Spring Ridge Cir, Winter Garden, FL 34787-4908 2019-08-04
1245884360 Rose Verlande Thompson Nurse Practitioner 9457 Meadow Hunt Way, Winter Garden, FL 34787-3293 2019-07-26
1225697824 Kathryn Roberson Nurse Practitioner 729 Mossyrock Ave, Winter Garden, FL 34787-2432 2019-06-07
1770051195 Thalia Boreland Guare Nurse Practitioner 518 Dharma Cir, Winter Garden, FL 34787-4366 2018-11-03
1396228342 Marjorie Pancho Abanador Nurse Practitioner 5772 Laurel Cherry Ave, Winter Garden, FL 34787-6409 2018-09-14
1982114609 Nancy C Shearey Nurse Practitioner 15217 Hayworth Dr, Winter Garden, FL 34787-5556 2017-10-08
1508397522 Karen L Kelly Nurse Practitioner Take Care Health Services, Pa, 13720 W Colonial Dr, Winter Garden, FL 34787 2017-03-22
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Competitor

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City WINTER GARDEN
Zip Code 34787

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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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