1. Home
  2. Directory
  3. Florida
  4. Fort Lauderdale
  5. Emergency Medicine
  6. NPI Profile

DR. STACEY KACIUBAN M.D.
NPI 1548435365
Emergency Medicine in Fort Lauderdale, FL

Active since April 23, 2008
1600 S ANDREWS AVE, EMERGENCY DEPARTMENT, FORT LAUDERDALE, FL 33316(954) 355-4400(954) 468-8035 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stacey Kaciuban M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACEY KACIUBAN M.D. (NPI 1548435365) is an individual emergency medicine provider in Fort Lauderdale, Florida, licensed in Florida (ME102063) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1548435365
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. STACEY KACIUBANCredential: M.D.
Location Address1600 S ANDREWS AVE, EMERGENCY DEPARTMENTFort Lauderdale, FL 33316-2510
Mailing Address110 N Federal Hwy, Unit 914Fort Lauderdale, FL 33301-1180 · (954) 591-2224
Phone(954) 355-4400
Fax(954) 468-8035
Sole ProprietorYes
Enumeration DateApril 23, 2008
Last NPPES UpdateNovember 18, 2009
✔ NPI 1548435365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME102063
Definition
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.
1600 S ANDREWS AVE, Fort Lauderdale, FL 33316
Open in Google Maps ↗

Other Identifiers 4

Other91683FL · Bcbs
Medicare PINAM087YFL
Medicaid000235600FL
Medicare PINAM087Z

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANNE MATTOX PARKER M.D.
Pediatrics
1600 S ANDREWS AVE, NEWBORN NURSERY
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5810
AKILAH FULLER PHARMD, MS
Pharmacist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JACOB GOLDENBERG MD
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 941-8300
TIFFANY SKYE SCULTHORPE DO, MS
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JOHN BERNE MD
Surgery
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (305) 918-7050
DR. EDUARDO A. OTERO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1600 S ANDREWS AVE, 4TH FLR NICU
FT LAUDERDALE, FL 33316
Broward County (954) 355-5870
WESTSIDE HOSPITALIST INC
Hospitalist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
PETER A. NAMNUM, MD, PA
Internal Medicine (Pulmonary Disease)
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Kaciuban's NPI number?

The NPI number for Stacey Kaciuban is 1548435365. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Stacey Kaciuban located?

Stacey Kaciuban practices at 1600 S Andrews Ave Emergency Department, Fort Lauderdale, FL 33316. The listed phone number is (954) 355-4400.

What is Stacey Kaciuban's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Stacey Kaciuban was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.