Gerald T Stashak MD PA
Specialist in West Palm Beach, FL. Organization (NPI-2).
NPI number1265623219
StatusActive
Last updated in NPPESDec 5, 2012
Details
- NPI
- 1265623219
- Entity type
- Organization (NPI-2)
- Legal business name
- Gerald T Stashak MD PA
- Organization subpart
- No
- Enumeration date
- Aug 6, 2007
- Last updated
- Dec 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | ME0057975 | FL | Yes |
Practice location
5305 Greenwood AveSuite 204
West Palm Beach, FL 33407-2451
Phone 561-832-8886 · Fax 561-832-8802
Mailing address
5305 Greenwood AveSuite 204
West Palm Beach, FL 33407-2451
Phone 561-832-8886 · Fax 561-832-8802
Authorized official
Gerald T Stashak
Owner/President
5618328886
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