Provider Demographics
NPI:1770543571
Name:HAND, STANLEY I JR (MD)
Entity type:Individual
Prefix:
First Name:STANLEY
Middle Name:I
Last Name:HAND
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1622 SOUTH ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2921
Mailing Address - Country:US
Mailing Address - Phone:407-843-1707
Mailing Address - Fax:407-843-9711
Practice Address - Street 1:1622 SOUTH ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806
Practice Address - Country:US
Practice Address - Phone:407-843-1707
Practice Address - Fax:407-843-9711
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0015976207W00000X
FLME15976207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL38314700Medicaid
473192Medicare ID - Type Unspecified
FL38314700Medicaid