Brandon Stillman
Physical Medicine & Rehabilitation in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1962030296
StatusActive
Last updated in NPPESNov 12, 2025
Details
- NPI
- 1962030296
- Entity type
- Individual (NPI-1)
- Name
- Brandon Stillman
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2020
- Certification date
- Nov 12, 2025
- Last updated
- Nov 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | OS19793 | FL | Yes |
| 208D00000X | General Practice | 19793 | FL |
Practice location
2000 E Commercial BlvdFort Lauderdale, FL 33308-3744
Phone 872-231-3162
Mailing address
Po Box 22239New York, NY 10087-0001
Phone 702-899-0595 · Fax 702-977-1496
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