Organization
FELIX A STANZIOLA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTRY SETSER (PRES)
(800) 333-9800
Entity
Organization
Contact information
Practice address
11801 SW 90TH ST, STE 101, MIAMI, FL 33186-2182
(305) 595-0719
(305) 595-2154
Mailing address
11801 SW 90TH ST, STE 101, MIAMI, FL 33186-2182
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME56376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017424
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/21/2006
Last updated
09/25/2007
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