Clarence Sthilaire, MD is a
Family Medicine - Adult Medicine physician based in Miam, Florida. Clarence Sthilaire is licensed to practice in Florida (license number HSE33950) and his current practice location is 1600 Northwest 12th Ave, Miam, Florida. He can be reached at his office (for appointments etc.) via phone at
(305) 528-0728.
NPI number for Clarence Sthilaire is 1912652389 and his current mailing address is 24 Temple Ct, Lehigh Acres, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912652389.
Physician's Profile
| Full Name | Clarence Sthilaire |
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| Gender | Male |
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| Speciality | Family Medicine - Adult Medicine |
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| Location | 1600 Northwest 12th Ave, Miam, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912652389
- Provider Enumeration Date: 02/15/2022
- Last Update Date: 08/11/2023
Medical Identifiers
Medical identifiers for Clarence Sthilaire such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912652389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | HSE33950 (Florida) | Secondary |
| 207R00000X | Internal Medicine | HSE33950 (Florida) | Secondary |
| 208D00000X | General Practice | HSE33950 (Florida) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | HSE33950 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarence Sthilaire is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Clarence Sthilaire, MD
24 Temple Ct,
Lehigh Acres, FL 33936-7219
Ph: () - | Clarence Sthilaire, MD
1600 Northwest 12th Ave,
Miam, FL 33136
Ph: (305) 528-0728 |
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