Individual
DR. GEORGE A STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 N LAKEMONT AVE, WINTER PARK, FL 32792-3213
(407) 975-3315
(407) 622-0849
Mailing address
111 N LAKEMONT AVE, WINTER PARK, FL 32792-3213
(407) 975-3315
(407) 622-0849
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20040011975
MO
2085R0202X
Diagnostic Radiology Physician
200400267
NC
2085R0202X
Diagnostic Radiology Physician
Primary
ME58344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054263600
—
FL
Enumeration date
11/23/2005
Last updated
05/12/2014
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