Individual
MICHAEL A STAAB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4949 TAMIAMI TRL N, STE 206, NAPLES, FL 34103-3027
(239) 261-1158
(239) 261-4232
Mailing address
PO BOX 413012, NAPLES, FL 34101-3012
(239) 261-1158
(239) 261-4232
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME 93629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16595
BLUE CROSS/BLUE SHIELD
—
Enumeration date
10/26/2005
Last updated
07/08/2007
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