Provider Demographics
NPI:1902888217
Name:STAMPAR, MICHAEL (DO)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:STAMPAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W MARION AVE UNIT 1314
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-4467
Mailing Address - Country:US
Mailing Address - Phone:941-505-0888
Mailing Address - Fax:941-505-0890
Practice Address - Street 1:201 W MARION AVE UNIT 1314
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-4467
Practice Address - Country:US
Practice Address - Phone:941-505-0888
Practice Address - Fax:941-505-0890
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7178207Y00000X, 207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA76652Medicare UPIN
FLA76652Medicare UPIN