Stanley, George A

Stanley, George A is an sole proprietor health care provider with primary practice located at 111 N Lakemont Ave , Winter Park FL 32792-3213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stanley, George A can be contacted via phone (407) 975-3315.

Contact Information

Primary practice address
111 N Lakemont Ave Winter Park FL 32792-3213
Phone: (407) 975-3315
Fax: (407) 622-0849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME58344 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20040011975 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200400267 North Carolina

Profile Details

NPI number 1730162785
LBN Legal business name Stanley, George A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated May 12th, 2014 - about 10 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 1730162785 NPPES
Florida MEDICAID 054263600

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