Provider Demographics
NPI:1053812529
Name:STONE, JAMES THOMAS (HAS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:THOMAS
Last Name:STONE
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-2435
Mailing Address - Country:US
Mailing Address - Phone:954-748-9003
Mailing Address - Fax:954-667-0067
Practice Address - Street 1:2700 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-2435
Practice Address - Country:US
Practice Address - Phone:954-748-9003
Practice Address - Fax:954-667-0067
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4819237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty