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NPI Code Detail

MEDICARE: DR. SEBASTIAN ROBERT STANCIU MD

MEDICARE: DR. SEBASTIAN ROBERT STANCIU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianME89939FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G099441597OTHERGAGEORGIA MEDICARE PALMETTO GBA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730145608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEBASTIAN ROBERT STANCIU MD
Provider Business Mailing Address
First Line : PO BOX 55009
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-0009
Country : US
Telephone Number : 912-335-6943
Fax Number : 904-398-5617
Provider Business Practice Location Address
First Line : 2122 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-8937
Country : US
Telephone Number : 904-398-5614
Fax Number : 904-398-5617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 08/28/2019

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