Provider Demographics
NPI:1912186552
Name:RONALD F STACEY II D C P A
Entity Type:Organization
Organization Name:RONALD F STACEY II D C P A
Other - Org Name:RONALD F STACEY II D C P A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:FRED
Authorized Official - Last Name:STACEY
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:727-842-2111
Mailing Address - Street 1:5901 US HIGHWAY 19 STE 10
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2940
Mailing Address - Country:US
Mailing Address - Phone:727-842-2111
Mailing Address - Fax:727-842-2118
Practice Address - Street 1:36081 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1531
Practice Address - Country:US
Practice Address - Phone:727-786-7574
Practice Address - Fax:727-773-0863
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COASTAL CHIROPRACTIC & REHAB
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-31
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9214111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty