Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | ME0068257 | FL |
Y | 207KA0200X | Allergist | ME0068257 | FL |
NPI | 1053318279 |
---|---|
Provider Name | Dr. Kevin Stabile |
First Address | Boca Raton, FL 33486-1009 |
Second Address | Boca Raton, FL 33486-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 24/05/2019 |