Individual
DR. JAY HAROLD STANLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1776 N PINE ISLAND RD, SUITE 124, PLANTATION, FL 33322-5233
(954) 417-2608
Mailing address
3445 SADDLEBROOK LN, WESTON, FL 33331-3034
(954) 349-9521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME25911
FL
Other
Enumeration date
12/13/2005
Last updated
07/08/2007
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