Provider Demographics
NPI:1285078261
Name:PLONSKY, STACI B
Entity type:Individual
Prefix:MRS
First Name:STACI
Middle Name:B
Last Name:PLONSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4785 HIDDEN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-7219
Mailing Address - Country:US
Mailing Address - Phone:321-960-6676
Mailing Address - Fax:
Practice Address - Street 1:4785 HIDDEN CREEK RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-7219
Practice Address - Country:US
Practice Address - Phone:321-960-6676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula