Individual
MR. CHRISTIAN ANTHONY STANIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6032 FARCENDA PL, #102, MELBOURNE, FL 32940-7341
(321) 608-8160
(321) 622-6818
Mailing address
1515 W NASA BLVD, SUITE 100, MELBOURNE, FL 32901-2605
(321) 308-0659
(321) 309-2881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102247
FL
Other
Enumeration date
04/17/2006
Last updated
01/23/2015
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