Stafford, Joseph Alan

Stafford, Joseph Alan is an individual health care provider with primary practice located at 11181 Health Park Blvd Ste 1165 , Naples FL 34110-5734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stafford, Joseph Alan can be contacted via phone (239) 624-0320.

Contact Information

Primary practice address
11181 Health Park Blvd Ste 1165 Naples FL 34110-5734
Fax: (239) 624-0321
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME90316 Florida

Profile Details

NPI number 1922008655
LBN Legal business name Stafford, Joseph Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 21st, 2022 - about 3 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 1922008655 NPPES
Florida Other U3107X MEDICARE
Florida MEDICAID 002268500 MEDICARE
Florida Other 52130 MEDICARE

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