Shrom, Stanley H

Shrom, Stanley H is an individual health care provider with primary practice located at 4729 Us Highway 98 S , Lakeland FL 33812-4323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shrom, Stanley H can be contacted via phone (863) 646-5789.

Contact Information

Primary practice address
4729 Us Highway 98 S Lakeland FL 33812-4323
Phone: (863) 646-5789
Fax: (863) 646-5834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME103638 Florida

Profile Details

NPI number 1003851957
LBN Legal business name Shrom, Stanley H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jun 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003851957 NPPES
Florida Other 29218 BLUE CROSS BLUE SHIELD
Florida MEDICAID 000891800 BLUE CROSS BLUE SHIELD
Florida Other P00723081 BLUE CROSS BLUE SHIELD

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