Individual
MRS. SHIRLEY STICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3365 BURNS RD STE 100, PALM BEACH GARDENS, FL 33410-4302
(561) 626-4000
(561) 493-8172
Mailing address
3365 BURNS RD STE 100, PALM BEACH GARDENS, FL 33410-4302
(561) 626-4000
(561) 493-8172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME96483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91688
BCBS
FL
Enumeration date
08/13/2006
Last updated
09/06/2007
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