STACY EDWARDS INC NPI 1730105172

NPI Information

  • NPI: 1730105172
  • Provider Name: STACY EDWARDS, INC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: STACY L. EDWARDS, D.O.
  • Address: 2623 MCCORMICK DR STE 101
    CLEARWATER, FL
    ZIP 33759
  • Phone: (727) 564-9336

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NPI Details

STACY EDWARDS, INC is an internal medicine in Clearwater, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. STACY EDWARDS, INC NPI is 1730105172. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stacy L. Edwards, D.o..

The provider's business location address is:

2623 MCCORMICK DR STE 101
CLEARWATER, FL
ZIP 33759-046
Phone: (727) 564-9336
Fax: (727) 223-3228

The provider's authorized official is Stacy L Edwards .
The authorized official title is Physician and has the following contact phone number (727) 410-6655.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 10/29/2024.

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
1207R00000XInternal MedicineOS7714FLORIDAYes

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
1257297OTHERFLORIDAAVMED
25580758OTHERFLORIDAAETNA
3123421OTHERFLORIDAHUMANA
420886OTHERFLORIDABCBS
50161979008OTHERFLORIDACIGNA
61057441OTHERFLORIDAAETNA
71320OTHERFLORIDABAYCARE
80001713OTHERFLORIDAUHC
90412595OTHERFLORIDAUHC

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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