Staal, Stephen Paul

Staal, Stephen Paul is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Staal, Stephen Paul can be contacted via phone (352) 273-7832.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Fax: (352) 392-8530
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME99687 Florida

Profile Details

NPI number 1194886564
LBN Legal business name Staal, Stephen Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jan 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194886564 NPPES
Florida MEDICAID 279485300

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