Provider Demographics
NPI:1972579712
Name:SABOL, STUART J (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:J
Last Name:SABOL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2221 SE OCEAN BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-3341
Mailing Address - Country:US
Mailing Address - Phone:772-220-8459
Mailing Address - Fax:772-220-4733
Practice Address - Street 1:2221 SE OCEAN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3341
Practice Address - Country:US
Practice Address - Phone:772-220-8459
Practice Address - Fax:772-220-4733
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2008-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME68252207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL040015853OtherRAILROAD MEDICARE PIN
FLF70545Medicare UPIN
FL26949ZMedicare PIN