| Doctor Name: | STACEY L SENSOR |
| NPI Number: | 1588658579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 41075 |
| Business Practice Address: | 1223 Gateway Dr Suite 1d Melbourne, FL - 329012607 |
| Business Phone Number: | 3217254500 |
| Business Fax Number: | 3217221237 |
| Mailing Address: | 1223 Gateway Dr, Credentialing MELBOURNE |
| State: | FL |
| Postal Code: | 329012607 |
| Phone Number: | 3217254500 |
| Fax Number: | 3219517408 |
| NPI Enumeration Date: | 09/06/2005 |
| NPI Last Update Date: | 08/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 41075 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |