STACY A O'BRIEN
Audiology at Riverwalk Vlg Ct, Daytona Beach, FL

License number
Florida 1882
Issued Date
Jul 17, 2014
Effective Date
Jul 17, 2014
Expiration Date
Dec 31, 2017
Category
Health Care
Type
Audiologist
Address
Address
4624 Riverwalk Village Ct, Daytona Beach, FL 32127
Phone
(813) 767-0938
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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STACY O'BRIEN AUDIOLOGY, LLC

Daytona Beach, FL

Registration:
Oct 20, 2014
Addresses:
1185 Dunlawton Ave SUITE 103, Port Orange, FL 32127 (Physical)
4624 Riverwalk Vlg Ct, Port Orange, FL 32127 (Mailing)
State ID:
L14000162663
Business type:
Florida Limited Liability Company
Managers:
O'brien, Stacy A, Au.d, 4624 Riverwalk Vlg Ct, Port Orange, FL 32127 (Physical),Stacy A. O'brien (Manager)
EIN:
N/-A

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