MEDICARE: LAURENCE P STILLMAN D.O.

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
1	174400000X	Specialist	OS4079	FL

General Provider Information

NPI Number	:	1063495679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURENCE P STILLMAN D.O.

Provider Business Mailing Address
First Line	:	1090 PAPAYA ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-4842
Country	:	US
Telephone Number	:	305-904-0037
Fax Number	:	954-927-9493

Provider Business Practice Location Address
First Line	:	1090 PAPAYA ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-4842
Country	:	US
Telephone Number	:	305-904-0037
Fax Number	:	954-927-9493

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	10/17/2014

Similar Medicare Providers

1225163587 — LAURENCE P STILLMAN DO PA
Practice Location Address:

1090 PAPAYA ST
HOLLYWOOD, FL
33019-4842

Practice Phone: 305-904-0037
Practice Fax:

1710102009 — MISSION CITY COMMUNITY NETWORK, INC.
Practice Location Address:

4842 HOLLYWOOD BLVD
HOLLYWOOD, CA
90027-5302

Practice Phone: 323-644-1110
Practice Fax: 323-644-1171

1679741425 — NASTARAN MINASSIANS NP
Practice Location Address:

4842 HOLLYWOOD BLVD
LOS ANGELES, CA
90027-5302

Practice Phone: 323-644-1118
Practice Fax: 323-644-1171

1730407958 — SARA BETH WILBERT OTR
Practice Location Address:

2 HOLLYWOOD BLVD N STE 8
FORKED RIVER, NJ
08731-4842

Practice Phone: 609-200-1118
Practice Fax: 866-368-4449

1922385145 — MISS JESSICA MCFADDEN M.S., CCC-SLP
Practice Location Address:

2 HOLLYWOOD BLVD N STE 8
FORKED RIVER, NJ
08731-4842

Practice Phone: 609-200-1118
Practice Fax:

1427526300 — RAYMOND ANTHONY ROBINSON
Practice Location Address:

2 HOLLYWOOD BLVD N APT A
FORKED RIVER, NJ
08731-4842

Practice Phone: 609-971-7722
Practice Fax:

Directions to “ LAURENCE P STILLMAN D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.