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LAURENCE P STILLMAN D.O.
NPI 1063495679
Specialist in Hollywood, FL

Active since November 29, 2005PECOS Enrolled
1090 PAPAYA ST, HOLLYWOOD, FL 33019(305) 904-0037(954) 927-9493 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laurence P Stillman D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURENCE P STILLMAN D.O. (NPI 1063495679) is an individual specialist in Hollywood, Florida, licensed in Florida (OS4079) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063495679
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameLAURENCE P STILLMANCredential: D.O.
Location Address1090 PAPAYA STHollywood, FL 33019-4842
Mailing Address1090 Papaya StHollywood, FL 33019-4842 · (305) 904-0037 · Fax (954) 927-9493
Phone(305) 904-0037
Fax(954) 927-9493
Sole ProprietorYes
Enumeration DateNovember 29, 2005
Last NPPES UpdateOctober 17, 2014
✔ NPI 1063495679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · OS4079
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1090 PAPAYA ST, Hollywood, FL 33019
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIND27361FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurence P Stillman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURENCE P STILLMAN DO PA
Family Medicine
1090 PAPAYA ST
HOLLYWOOD, FL 33019
Broward County (305) 904-0037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurence Stillman's NPI number?

The NPI number for Laurence Stillman is 1063495679. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Laurence Stillman located?

Laurence Stillman practices at 1090 Papaya St, Hollywood, FL 33019. The listed phone number is (305) 904-0037.

What is Laurence Stillman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Laurence Stillman enrolled in Medicare?

Yes. Laurence Stillman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laurence Stillman was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.