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1669451134

NPI Code Detail

MEDICARE: DR. JOSEPH STAGGENBORG MD

MEDICARE: DR. JOSEPH STAGGENBORG MD

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	207L00000X	Anesthesiology Physician	ME132134	FL
2	207L00000X	Anesthesiology Physician	036086326	IL
3	207L00000X	Anesthesiology Physician	55500	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036086326	OTHER	IL	BC OF IL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669451134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH STAGGENBORG MD

Provider Business Mailing Address
First Line	:	5000 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-1503
Country	:	US
Telephone Number	:	954-735-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-1503
Country	:	US
Telephone Number	:	954-735-6000
Fax Number	:

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	03/17/2026

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Directions to “ DR. JOSEPH STAGGENBORG MD” 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.

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