Individual
DR. STANLEY M. ROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0024739
FL
207W00000X
Ophthalmology Physician
Primary
ME24739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054319500
—
FL
01
—
180024797
RAILROAD MEDICARE
FL
01
—
202266
AVMED
FL
01
—
2457357
AETNA
FL
01
—
650560968
UNITED
FL
01
—
93031
BLUE CROSS BLUE SHEILD
FL
Enumeration date
08/12/2005
Last updated
06/08/2011
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