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Individual

ANTHONEY FITZGAROLD STAMPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7041 GRAND NATIONAL DR STE 200, ORLANDO, FL 32819-8380
(407) 982-7718
(407) 704-5953
Mailing address
5578 GREEN SHADOWS PL, ORLANDO, FL 32811-2926
(321) 805-9700

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10952419
PSR
FL
Enumeration date
06/02/2021
Last updated
12/07/2021
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