Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 17797 | FL |
N | 111NI0900X | Internist | 17797 | FL |
Y | 207RH0002X | Hospice and Palliative Medicine | 17797 | FL |
NPI | 1033639372 |
---|---|
Provider Name | Dr. Michael Richard Stone |
First Address | Kissimmee, FL 34741-7952 |
Second Address | Orlando, FL 32803-1248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2017 |
Last Update Date | 20/08/2021 |