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Individual
SHELDON STALLER
Active
Individual
SHELDON STALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME16525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005880
NEIGHBORHOOD
—
01
—
0470110
UNITED
—
01
—
10752
HUMANA
—
01
—
1196818
CIGNA
—
01
—
207375
MARIGROUP
—
01
—
216805
AVMED
—
01
—
228
VISTA
—
01
—
5090400
AETNA
—
01
—
91717
HEALTHOPTIONS
—
Enumeration date
07/26/2006
Last updated
04/19/2018
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