MEDICARE: DR. LASZLO S STONE 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	208D00000X	General Practice Physician	ME 100423	FL

General Provider Information

NPI Number	:	1770598757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LASZLO S STONE MD

Provider Business Mailing Address
First Line	:	12620 BEACH BLVD
Second Line	:	SUITE 6
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-7130
Country	:	US
Telephone Number	:	904-645-0777
Fax Number	:	904-645-3483

Provider Business Practice Location Address
First Line	:	12620 BEACH BLVD
Second Line	:	SUITE 6
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-7130
Country	:	US
Telephone Number	:	904-645-0777
Fax Number	:	904-645-3483

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

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	07/01/2015

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Directions to “ DR. LASZLO S STONE MD” Practice Location

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