J Harold Stanley MD PA
Eyewear Supplier (Equipment, not the service) in Plantation, FL. Organization (NPI-2).
NPI number1740645274
StatusActive
Last updated in NPPESDec 29, 2015
Details
- NPI
- 1740645274
- Entity type
- Organization (NPI-2)
- Legal business name
- J Harold Stanley MD PA
- Organization subpart
- No
- Enumeration date
- Dec 29, 2015
- Last updated
- Dec 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | me25911 | FL | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | opc1779 | FL |
Practice location
1776 N Pine Island RoadSuite 124
Plantation, FL 33322
Phone 954-473-4108
Mailing address
1776 N Pine Island RdSuite 124
Plantation, FL 33322-5233
Phone 954-473-4108
Authorized official
Gail Tysenn
Billing Manager
9544734108
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