Martin Spencer Stone Md Pa | |
10139 Nw 31st St Suite103 Coral Springs FL 33065-3908 | |
(954) 755-0350 | |
(866) 480-1605 |
Full Name | Martin Spencer Stone Md Pa |
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Speciality | Internal Medicine |
Location | 10139 Nw 31st St, Coral Springs, Florida |
Authorized Official Name and Position | Martin Spencer Stone (OWNER/PRESIDENT) |
Authorized Official Contact | 9547550350 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Martin Spencer Stone Md Pa 10139 Nw 31st St Suite103 Coral Springs FL 33065-3908 Ph: (954) 755-0350 | Martin Spencer Stone Md Pa 10139 Nw 31st St Suite103 Coral Springs FL 33065-3908 Ph: (954) 755-0350 |
NPI Number | 1629384920 |
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Provider Enumeration Date | 08/24/2010 |
Last Update Date | 11/04/2010 |
Medicare PECOS PAC ID | 2961695507 |
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Medicare Enrollment ID | O20101105000013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629384920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0033411 (Florida) | Primary |
Provider Name | Martin S Stone |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639197247 PECOS PAC ID: 5597721191 Enrollment ID: I20101105000027 |
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