Provider Demographics
NPI:1477520054
Name:STADTMAUER, LAUREL ANN (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:ANN
Last Name:STADTMAUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 BRICK CT
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-9392
Mailing Address - Country:US
Mailing Address - Phone:407-672-1106
Mailing Address - Fax:407-678-2790
Practice Address - Street 1:5901 BRICK CT
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9392
Practice Address - Country:US
Practice Address - Phone:407-672-1106
Practice Address - Fax:407-678-2790
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74026207VE0102X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPAROtherCIGNA
FL2X7RDOtherBCBS OF FLORIDA
FLPAROtherAETNA
VAPAROtherUSA MANAGED CARE
NC065EUOtherNC BC/BS
NC89065EUMedicaid
VAPAROtherAETNA
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
287920OtherANTHEM
53048OtherSENTARA/OPTIMA
VAPAROtherCORVEL/CORCARE
VAPAROtherVIRGINIA PREMIER HEALTH
310409OtherUHC/MAMSI
VAPAROtherMULTIPLAN
VA-012OtherTRICARE/CHAMPUS
VAPAROtherAETNA
VAPAROtherUSA MANAGED CARE