Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | ME74026 | FL |
Y | 207VE0102X | Reproductive Endocrinologist | ME74026 | FL |
NPI | 1477520054 |
---|---|
Provider Name | Dr. Laurel Ann Stadtmauer |
First Address | Winter Park, FL 32792-9392 |
Second Address | Winter Park, FL 32792-9392 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 02/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2X7RD | BCBS OF FLORIDA (01) | FL |
PAR | AETNA (01) | FL |
PAR | CIGNA (01) | FL |