Provider Demographics
NPI:1588901649
Name:STEHLY, BRIDGET (RPH)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:STEHLY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:RUESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:11750 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-5303
Mailing Address - Country:US
Mailing Address - Phone:772-545-5666
Mailing Address - Fax:772-545-5672
Practice Address - Street 1:11750 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-5303
Practice Address - Country:US
Practice Address - Phone:772-545-5666
Practice Address - Fax:772-545-5672
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist