Provider Demographics
NPI:1851895213
Name:SZYBINSKI, STANLEY THOMAS
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:THOMAS
Last Name:SZYBINSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8865 SW 150TH ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33176-8047
Mailing Address - Country:US
Mailing Address - Phone:305-282-2973
Mailing Address - Fax:
Practice Address - Street 1:JOE DIMAGGIO CHILDREN'S HOSPITAL
Practice Address - Street 2:ATTN: PEDIATRIC RESIDENCY PROGRAM; 1005 JOE DIMAGGIO DR
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5402
Practice Address - Country:US
Practice Address - Phone:954-265-5324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program