MEDICARE: AMOS STANISLAS M.D.

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	207Q00000X	Family Medicine Physician	MD2026-0009	NM
2	282N00000X	General Acute Care Hospital
3	207Q00000X	Family Medicine Physician	ME163714	FL

General Provider Information

NPI Number	:	1164831350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMOS STANISLAS M.D.

Provider Business Mailing Address
First Line	:	10026 NW 56TH CT
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2587
Country	:	US
Telephone Number	:	305-987-1327
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 W COMMERCIAL BLVD STE 110
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3407
Country	:	US
Telephone Number	:	754-285-6111
Fax Number	:	754-315-0660

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

Provider Enumeration Date	:	08/12/2014
Last Update Date	:	01/07/2026

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