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Individual

JAMES ALBERT STAAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2901 NE 26TH PLACE, FT LAUDERDALE, FL 33306
(954) 401-6198
Mailing address
2901 NE 26TH PL, FT LAUDERDALE, FL 33306-1968

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME50493
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04496
BCBS
FL
05
046851700
FL
Enumeration date
01/11/2006
Last updated
11/20/2015
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