Stavoy, Thomas Gerald

Stavoy, Thomas Gerald is an individual health care provider with primary practice located at 1890 Lpga Blvd Ste. 160, Daytona Beach FL 32117-7130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Stavoy, Thomas Gerald can be contacted via phone (386) 252-4701.

Contact Information

Primary practice address
1890 Lpga Blvd Ste. 160 Daytona Beach FL 32117-7130
Phone: (386) 252-4701
Fax: (386) 253-9410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME54029 Florida

Profile Details

NPI number 1992773303
LBN Legal business name Stavoy, Thomas Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated May 16th, 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 1992773303 NPPES
Other 4055441 AETNA
Other 00551 AETNA
MEDICAID 049302300 AETNA

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