Organization
TRIPLE GEM HEALTHCARE, INC.
Active
Other names
Robert Stall, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STALL MD (CEO / PHYSICIAN)
(833) 724-6688
Entity
Organization
Contact information
Practice address
2650 1ST AVE S, ST PETERSBURG, FL 33712-1108
(833) 724-6688
Mailing address
4222 22ND AVE S # 531631, SAINT PETERSBURG, FL 33711-9998
(833) 724-6688
(833) 724-6688
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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