Individual
DR. JOSE ANTONIO STOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4430A SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3514
(954) 962-0040
(954) 962-7901
Mailing address
4430A SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3514
(954) 962-0040
(954) 962-7901
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
029798
GA
207RI0200X
Infectious Disease Physician
Primary
MD434601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022374060001
—
PA
Enumeration date
12/05/2006
Last updated
09/05/2021
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