Stanley, Donovan

Stanley, Donovan is an individual health care provider with primary practice located at 11947 Southern Blvd , Royal Palm Beach FL 33411-7619. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Stanley, Donovan can be contacted via phone (561) 204-2213.

Contact Information

Primary practice address
11947 Southern Blvd Royal Palm Beach FL 33411-7619
Phone: (561) 204-2213
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA21170 Florida

Profile Details

NPI number 1417126285
LBN Legal business name Stanley, Donovan
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2008
Last updated Feb 26th, 2008 - about 17 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 1417126285 NPPES
Florida Other PTA21170 FLORIDA MEDICAL LICENSE

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