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NPI 1164831350

NPI 1164831350 : AMOS STANISLAS M.D. : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1164831350
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    Entity Type          |    Individual 
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    Provider Name        |    AMOS STANISLAS M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/12/2014
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    3333 W COMMERCIAL BLVD STE 110 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33309-3407
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    Country              |    US
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    Telephone            |    754-285-6111
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    Fax                  |    754-315-0660
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Provider Business Mailing Address
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    Address Line         |    10026 NW 56TH CT 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33076-2587
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    Country              |    US
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    Telephone            |    305-987-1327
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD2026-0009
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    License Number State |    NM
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Taxonomy #2
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    ME163714
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    License Number State |    FL
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