DR. STACEY KACIUBAN M.D. NPI 1548435365

NPI Information

  • NPI: 1548435365
  • Provider Name: DR. STACEY KACIUBAN, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 S ANDREWS AVE
    EMERGENCY DEPARTMENT
    FORT LAUDERDALE, FL
    ZIP 33316
  • Phone: (954) 355-4400

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NPI Details

DR. Stacey Kaciuban, M.D. is an emergency medicine in Fort Lauderdale, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Stacey Kaciuban, M.D. NPI is 1548435365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 S ANDREWS AVE
EMERGENCY DEPARTMENT
FORT LAUDERDALE, FL
ZIP 33316-510
Phone: (954) 355-4400
Fax: (954) 468-8035

The NPI 1548435365 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 11/18/2009.

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
1207P00000XEmergency MedicineME102063FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
191683OTHERFLORIDABCBS
2AM087YMEDICARE PINFLORIDA
3000235600MEDICAIDFLORIDA
4AM087ZMEDICARE PIN

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

NPI Synchronization or Removal

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