Stanley a. Spatz, MD, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

22546 Issued in FL

Legal business name

STANLEY A. SPATZ, MD, PA

Practice address

601 N. Flamingo Road
Suite 313
Pembroke Pines, FL 33028

Phone

(954) 433-0455

Fax

(954) 433-8771

NPI assigned

Dec 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stanley A. Spatz, M.D.

Title

President/Physician

Phone

(954) 433-0455

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1508922451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N. FLAMINGO ROAD",
            "address_2": "SUITE 313",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33028",
            "telephone_number": "954-433-0455",
            "fax_number": "954-433-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N. FLAMINGO ROAD",
            "address_2": "SUITE 313",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33028",
            "telephone_number": "954-433-0455",
            "fax_number": "954-433-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY A. SPATZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "SPATZ",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "954-433-0455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME22546",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "22546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.