Individual
DR. DENNIS J STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 HARBOR BLVD STE 203, PORT CHARLOTTE, FL 33952-5342
(941) 255-7020
(866) 292-7261
Mailing address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 348-4221
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME50898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03984
BLUE SHIELD
FL
05
—
049462300
—
FL
01
—
3568049
AETNA HMO
—
01
—
7864548
AETNA PPO
—
01
—
P00145915
RAILROAD MEDICARE
—
Enumeration date
07/01/2006
Last updated
09/17/2020
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