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Organization

GERALD T STASHAK MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD T STASHAK M.D. (OWNER/PRESIDENT)
(561) 832-8886
Entity
Organization

Contact information

Practice address
5305 GREENWOOD AVE, SUITE 204, WEST PALM BEACH, FL 33407-2451
(561) 832-8886
(561) 832-8802
Mailing address
5305 GREENWOOD AVE, SUITE 204, WEST PALM BEACH, FL 33407-2451
(561) 832-8886
(561) 832-8802

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0057975
FL

Other

Enumeration date
08/06/2007
Last updated
12/05/2012
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