Individual
DR. CAROLYN FONTANA STALVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3003
(352) 265-0301
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
236694
MA
207R00000X
Internal Medicine Physician
Primary
ME105779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2158337
—
MA
05
—
266973100
—
FL
Enumeration date
06/24/2006
Last updated
10/15/2010
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