Provider Demographics
NPI:1013074038
Name:STOUFFER, LINDSAY PALMER (C PED)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:PALMER
Last Name:STOUFFER
Suffix:
Gender:F
Credentials:C PED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:917 RINEHART RD
Mailing Address - Street 2:STE. 2001
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4802
Mailing Address - Country:US
Mailing Address - Phone:407-956-3553
Mailing Address - Fax:407-328-9232
Practice Address - Street 1:917 RINEHART RD
Practice Address - Street 2:STE. 2001
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4802
Practice Address - Country:US
Practice Address - Phone:407-956-3553
Practice Address - Fax:407-328-9232
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPED132332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies