Organization
J HAROLD STANLEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL TYSENN (BILLING MANAGER)
(954) 473-4108
Entity
Organization
Contact information
Practice address
1776 N PINE ISLAND ROAD, SUITE 124, PLANTATION, FL 33322
(954) 473-4108
Mailing address
1776 N PINE ISLAND RD, SUITE 124, PLANTATION, FL 33322-5233
(954) 473-4108
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
ME25911
FL
332H00000X
Eyewear Supplier
OPC1779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030403191
NPI 11#
FL
Enumeration date
12/29/2015
Last updated
12/29/2015
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