Basic Information
| Provider Information | |||||||||
| NPI: | 1699707430 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STAMPALIA | ||||||||
| FirstName: | ANTHONY | ||||||||
| MiddleName: | ANTE | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | SR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7800 W OAKLAND PARK BLVD | ||||||||
| Address2: | SUITE E-214 | ||||||||
| City: | SUNRISE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333516741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543186590 | ||||||||
| FaxNumber: | 9543186604 | ||||||||
| Practice Location | |||||||||
| Address1: | 9980 CENTRAL PARK BLVD | ||||||||
| Address2: | #314 | ||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5614883734 | ||||||||
| FaxNumber: | 5614883622 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2006 | ||||||||
| LastUpdateDate: | 04/25/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | ME67625 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.