Individual
STEPHEN PAUL STAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7832
(352) 392-8530
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-7832
(352) 392-8530
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME99687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279485300
—
FL
Enumeration date
12/12/2006
Last updated
01/05/2012
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