Individual provider · Type 1 NPI

Stephanie Stine Livingston, P.A.

Surgical Physician Assistant · Sarasota, FL

NPI number 1174701965 Active

Practice location

1540 S Tamiami Trl, SUITE303
Sarasota, FL 34239-2930

Fax (917) 917-8793

Mailing address

PO Box 863407
Orlando, FL 32886-3407

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9104497 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1174701965

Stephanie Stine Livingston, P.A.'s National Provider Identifier is 1174701965, issued on Feb 5, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sarasota, FL. The record was last updated on Jul 26, 2019.