Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | ME41999 | FL |
NPI | 1013900299 |
---|---|
Provider Name | Craig L Stemmer |
First Address | Boca Raton, FL 33431-6365 |
Second Address | Boca Raton, FL 33431-6365 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 11/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0046634 | GHI (01) | |
010016136 | RAILROAD MEDICARE (01) | |
067912700 | (05) | FL |
3102040 | UNITED HEALTHCARE (01) | |
D63821 | (02) | |
P505636 | OXFORD (01) |