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Individual

ANTHONY STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
160 NW 13TH ST, HOMESTEAD, FL 33030-4228
(786) 243-8000
Mailing address
4930 NW 15TH AVE, MIAMI, FL 33142-4113
(305) 635-2261

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0077954
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
49138
BCBS
FL
Enumeration date
04/20/2006
Last updated
07/09/2007
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