Individual
DR. CLARICE M STAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BOCA RATON REGIONAL HOSPITAL, NICU 800 MEADOWS ROAD, BOCA RATON, FL 33486
(561) 955-3360
Mailing address
800 MEADOWS RD, DEPT OF NEONATOLOGY, BOCA RATON, FL 33486
(561) 955-3360
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
216321
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME100013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018144
—
MA
Enumeration date
06/25/2006
Last updated
04/23/2018
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