Provider Demographics
NPI:1609815539
Name:STANZIOLA, FELIX ANTONIO (MD)
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:ANTONIO
Last Name:STANZIOLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11801 SW 90TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2182
Mailing Address - Country:US
Mailing Address - Phone:305-595-0719
Mailing Address - Fax:305-595-2154
Practice Address - Street 1:11801 SW 90TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2182
Practice Address - Country:US
Practice Address - Phone:305-595-0719
Practice Address - Fax:305-595-2154
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056376174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist