Individual
HOMER PHILLIPS STALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E SHERIDAN RD, MELBOURNE, FL 32901-3142
(321) 725-4500
(321) 724-4324
Mailing address
200 E SHERIDAN RD, MELBOURNE, FL 32901-3142
(321) 725-4500
(321) 724-4324
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME25910
FL
Other
Enumeration date
12/13/2005
Last updated
07/08/2007
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