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Organization
TRIPLE GEM HEALTHCARE, INC.
Active
Organization
TRIPLE GEM HEALTHCARE, INC.
Active
Other names
Robert Stall, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STALL MD (CEO / PHYSICIAN)
(833) 724-6688
Entity
Organization
Contact information
Practice address
2650 1ST AVE S, ST PETERSBURG, FL 33712-1108
(833) 724-6688
Mailing address
4222 22ND AVE S # 531631, SAINT PETERSBURG, FL 33711-9998
(833) 724-6688
(833) 724-6688
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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