MEDICARE: HOWARD ALLAN STOLLER PA

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	225700000X	Massage Therapist	MA59777	FL
2	171100000X	Acupuncturist	AP3596	FL

General Provider Information

NPI Number	:	1831584697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD ALLAN STOLLER PA

Provider Business Mailing Address
First Line	:	5379 LYONS RD
Second Line	:	#112
City	:	COCONUT CREEK
State	:	FL
Zip	:	33073-2810
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 NW 70TH AVE
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-2911
Country	:	US
Telephone Number	:	954-642-1224
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HOWARD ALLAN STOLLER
Credential	:	L.AC.
Telephone Number	:	954-478-1911

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	03/30/2015

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Directions to “HOWARD ALLAN STOLLER PA ” Practice Location

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