Provider Demographics
NPI:1548629108
Name:THE STINGL FAMILY FOUNDATION, INC
Entity type:Organization
Organization Name:THE STINGL FAMILY FOUNDATION, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:STINGL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-345-4002
Mailing Address - Street 1:1304 OAK ST
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3111
Mailing Address - Country:US
Mailing Address - Phone:321-345-4002
Mailing Address - Fax:888-725-0512
Practice Address - Street 1:1304 OAK ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3111
Practice Address - Country:US
Practice Address - Phone:321-345-4002
Practice Address - Fax:888-725-0512
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE STINGL FAMILY FOUNDATION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center