Staudt, Stephen Michael

Staudt, Stephen Michael is an individual health care provider with primary practice located at 180 John F Kennedy Dr , Atlantis FL 33462-6641. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Staudt, Stephen Michael can be contacted via phone (561) 967-6500.

Contact Information

Primary practice address
180 John F Kennedy Dr Atlantis FL 33462-6641
Phone: (561) 967-6500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9111157 Florida

Profile Details

NPI number 1609343821
LBN Legal business name Staudt, Stephen Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2018
Last updated Nov 15th, 2018 - about 6 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 1609343821 NPPES
Florida Other PA9111157 STATE OF FLORIDA DEPARTMENT OF HEALTH
Florida Other 14366545 STATE OF FLORIDA DEPARTMENT OF HEALTH

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