Individual
STANLEY J KUPISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6878
(407) 843-7381
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6878
(407) 843-7381
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
045273
GA
207X00000X
Orthopaedic Surgery Physician
30473
TN
207X00000X
Orthopaedic Surgery Physician
Primary
ME0066643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00800764B
—
GA
05
—
275656100
—
FL
Enumeration date
08/31/2005
Last updated
05/07/2013
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