Individual
DR. STANLEY M. ROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 S. PINE ISLAND RD., STE. A 100, PLANTATION, FL 33324
(954) 741-5555
(954) 741-6298
Mailing address
P.O. BOX 39209, FT. LAUDERDALE, FL 33339
(954) 851-9966
(954) 318-7360
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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