Individual
WILLIAM J STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2402 FRIST BLVD STE 200, FORT PIERCE, FL 34950-4838
(772) 465-4651
(772) 465-4606
Mailing address
2402 FRIST BLVD STE 200, FORT PIERCE, FL 34950-4838
(772) 465-4651
(772) 465-4606
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 63808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277449600
—
FL
01
—
P00415007
MEDICARE RAIL ROAD
FL
Enumeration date
11/28/2006
Last updated
09/17/2019
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