MEDICARE: STENIN DISTLER

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		FL

General Provider Information

NPI Number	:	1548127376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STENIN DISTLER

Provider Business Mailing Address
First Line	:	20052 PALM ISLAND DR
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33498-4511
Country	:	US
Telephone Number	:	201-484-9908
Fax Number	:	973-427-9001

Provider Business Practice Location Address
First Line	:	20052 PALM ISLAND DR
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33498-4511
Country	:	US
Telephone Number	:	201-484-9908
Fax Number	:

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

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/06/2026

Similar Medicare Providers

1396709036 — MRS. MARGARET GUGLIELMINO PEREZ MPT, CSCS
Practice Location Address:

1123 SW 4TH ST
BOCA RATON, FL
33486-4511

Practice Phone: 352-258-3457
Practice Fax:

1881692150 — MR. MARK ANDERW BERMAN LO, CO
Practice Location Address:

11113 BLUE CORAL DR
BOCA RATON, FL
33498-4905

Practice Phone: 561-306-1169
Practice Fax: 561-479-4931

1689673139 — DR. DWIGHT GUIDO AYALA MD
Practice Location Address:

10278 BUENA VENTURA DR
BOCA RATON, FL
33498-6766

Practice Phone: 561-368-7055
Practice Fax: 561-368-6599

1770571788 — MR. MICHAEL SIMMONS LMT, CLT
Practice Location Address:

19971 BACK NINE DR
BOCA RATON, FL
33498-4706

Practice Phone: 561-306-6618
Practice Fax:

1306835194 — ANDREW WALDORF REISS MD
Practice Location Address:

19615 S STATE RD 7 , SUITE 32
BOCA RATON, FL
33498

Practice Phone: 561-477-7700
Practice Fax: 561-477-7707

1821087552 — DIANE ASHLEY PA-C
Practice Location Address:

18384 102ND WAY S
BOCA RATON, FL
33498-1663

Practice Phone: 561-350-3029
Practice Fax:

Directions to “ STENIN DISTLER ” 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 © 2007-2026 (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.