IndividualActive
Jessica Staller, DO
NPI 1831586544 · Preventive Medicine/Occupational Environmental Medicine Physician · Ft Lauderdale, FL
Provider details
- NPI number
- 1831586544
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MB10183900 (NJ)
Practice location
1007 W Commercial Blvd
Ft Lauderdale, FL 33309-3107
Phone: (954) 564-2592
Fax: (954) 564-2705
Mailing address
1007 W Commercial Blvd
Ft Lauderdale, FL 33309-3107
Registry dates
- Enumerated
- 2015-04-20
- Last updated
- 2020-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.