Individual
DR. STANLEY H SHROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME103638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000891800
—
FL
01
—
29218
BLUE CROSS BLUE SHIELD
FL
01
—
P00723081
RAILROAD MEDICARE
FL
Enumeration date
06/17/2006
Last updated
06/02/2017
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