Whalio Doctors

NPI 1831586544

Jessica Leigh Staller, DO

Practitioner Preventive Medicine/Occupational Environmental Medicine Physician Ft Lauderdale, FL

Practice location

Address
1007 W Commercial Blvd, Ft Lauderdale, FL 33309-3107
Phone
(954) 564-2592
Fax
(954) 564-2705

Registered specialties (2)

Preventive Medicine/Occupational Environmental Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence OS16365 (FL)
Preventive Medicine/Occupational Environmental Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence 25MB10183900 (NJ)

Registry record

NPI
1831586544
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Apr 2015
Record last updated
28 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.