STACY HOLDER DPM PA NPI 1447671326

NPI Information

  • NPI: 1447671326
  • Provider Name: STACY HOLDER DPM PA
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: PARADIGM PODIATRY
  • Address: 1791 NW 123RD AVE
    PEMBROKE PINES, FL
    ZIP 33026
  • Phone: (954) 391-7674

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NPI Details

STACY HOLDER DPM PA is a foot and ankle surgery podiatrist in Pembroke Pines, FL. STACY HOLDER DPM PA NPI is 1447671326. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Paradigm Podiatry.

The provider's business location address is:

1791 NW 123RD AVE
PEMBROKE PINES, FL
ZIP 33026-383
Phone: (954) 391-7674
Fax: (954) 374-6958

The provider's authorized official is Stacy Holder Shewprashad .
The authorized official title is Owner and has the following contact phone number (954) 391-7674.

The enumeration date for this NPI number is 12/19/2013 and was last updated on 6/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryPO3583FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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