Provider Demographics
NPI:1902865587
Name:SKOPIT, STANLEY E (DO)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:E
Last Name:SKOPIT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:151 SOUTHHALL LN
Mailing Address - Street 2:STE 300
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7176
Mailing Address - Country:US
Mailing Address - Phone:407-875-2080
Mailing Address - Fax:407-650-3455
Practice Address - Street 1:4970 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5300
Practice Address - Country:US
Practice Address - Phone:954-977-0270
Practice Address - Fax:954-977-6824
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS3893207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL065691700Medicaid
FL065691700Medicaid
FL82219UMedicare PIN