Provider Demographics
NPI:1215257845
Name:GREETER, STACY LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:STACY
Middle Name:LYNN
Last Name:GREETER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2415 UNIVERSITY PARKWAY
Mailing Address - Street 2:SUITE 219
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243
Mailing Address - Country:US
Mailing Address - Phone:941-413-0834
Mailing Address - Fax:941-761-5547
Practice Address - Street 1:2415 UNIVERSITY PARKWAY
Practice Address - Street 2:SUITE 219
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243
Practice Address - Country:US
Practice Address - Phone:941-413-0834
Practice Address - Fax:941-761-5547
Is Sole Proprietor?:No
Enumeration Date:2010-06-05
Last Update Date:2019-12-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME1284232084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry