Organization
UNIVERSITY PERINATAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUEL TYRONE STOESSEL M.D., P.A. (OWNER)
(561) 630-8001
Entity
Organization
Contact information
Practice address
11505 FAIRCHILD GARDENS AVE, SUITE 101, PALM BEACH GARDENS, FL 33410-2847
(561) 630-8001
Mailing address
11505 FAIRCHILD GARDENS AVE, SUITE 101, PALM BEACH GARDENS, FL 33410-2847
(561) 630-8001
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME72366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253207700
—
FL
Enumeration date
01/07/2009
Last updated
07/08/2010
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