Provider Demographics
NPI:1497931349
Name:DONNA STAPLETON
Entity Type:Organization
Organization Name:DONNA STAPLETON
Other - Org Name:DONNA STAPLETON
Other - Org Type:Other Name
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STAPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-388-8307
Mailing Address - Street 1:121 HAWKCREST CT
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-4924
Mailing Address - Country:US
Mailing Address - Phone:407-388-8307
Mailing Address - Fax:
Practice Address - Street 1:121 HAWKCREST CT
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-4924
Practice Address - Country:US
Practice Address - Phone:407-388-8307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL071483261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical