Healthcare Provider Details

I. General information

NPI: 1992625420
Provider Name (Legal Business Name): DAVID STULBERGER APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9745 BAY HARBOR TER APT 26
BAY HARBOR ISLANDS FL
33154-1794
US

IV. Provider business mailing address

9745 BAY HARBOR TER APT 26
BAY HARBOR ISLANDS FL
33154-1794
US

V. Phone/Fax

Practice location:
  • Phone: 516-314-1371
  • Fax:
Mailing address:
  • Phone: 516-314-1371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049231
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: