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Individual

STEFAN G PRIBIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
139 SW PORT ST LUCIE BLVD, SUITE C, PORT ST LUCIE, FL 34984-5031
(772) 878-5787
(772) 673-3347
Mailing address
139 SW PORT ST LUCIE BLVD, SUITE C, PORT ST LUCIE, FL 34984-5031
(772) 878-5787
(772) 673-3347

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
09098R
LA
207T00000X
Neurological Surgery Physician
G87914
CA
207T00000X
Neurological Surgery Physician
M5448
TX
207T00000X
Neurological Surgery Physician
Primary
ME97619
FL

Other

Enumeration date
02/01/2007
Last updated
08/02/2011
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