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Individual
MARC STOLL
Active
Individual
MARC STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0664623
AETNA HMO
FL
01
—
0905257
UHC
FL
01
—
2416393001
CIGNA
FL
01
—
4198735
AETNA PPO
FL
01
—
6100549
GHI
FL
01
—
80505
BCBS
FL
Enumeration date
07/20/2006
Last updated
03/19/2010
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