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Individual

ANDREA GAY STOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
1128-253 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411
(561) 784-0427
(866) 277-6962
Mailing address
14536 80TH STREET NORTH, LOXATCHEE, FL 33470
(561) 784-0427
(866) 277-6962

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3153272
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y037M
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/17/2006
Last updated
07/08/2007
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