Organization
HENRY M. STORPER M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY MICHAEL STORPER M.D. (PRESIDENT)
(305) 252-0533
Entity
Organization
Contact information
Practice address
9275 SW 152ND ST, SUITE 108B, VILLAGE OF PALMETTO BAY, FL 33157-1701
(305) 252-0533
Mailing address
9275 SW 152ND ST, SUITE 108B, VILLAGE OF PALMETTO BAY, FL 33157-1701
(305) 252-0533
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME25917
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002691
AV MED
FL
05
—
056090100
—
FL
01
—
098668000
MAGELLAN
FL
01
—
159894800
DEPARTMENT OF LABOR
FL
01
—
4216341
AETNA
FL
01
—
92248
BLUE CROSS BLUE SHEILD
FL
Enumeration date
05/20/2008
Last updated
05/20/2008
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