Staller, Sheldon

Staller, Sheldon is an individual health care provider with primary practice located at 150 Nw 168Th St Ste 301 , North Miami Beach FL 33169-6051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Staller, Sheldon can be contacted via phone (305) 654-5440.

Contact Information

Primary practice address
150 Nw 168Th St Ste 301 North Miami Beach FL 33169-6051
Phone: (305) 654-5440
Fax: (305) 654-5445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME16525 Florida

Profile Details

NPI number 1407879752
LBN Legal business name Staller, Sheldon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 19th, 2018 - about 8 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 1407879752 NPPES
Other 10752 HUMANA
Other 005880 HUMANA
Other 1196818 HUMANA
Other 0470110 HUMANA
Other 216805 HUMANA
Other 228 HUMANA
Other 91717 HUMANA
Other 5090400 HUMANA
Other 207375 HUMANA

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