Provider Demographics
NPI:1699729277
Name:SINCLAIR, STANLEY (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 E HALLANDALE BCH BLVD
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33009
Mailing Address - Country:US
Mailing Address - Phone:954-454-6300
Mailing Address - Fax:954-454-6325
Practice Address - Street 1:1117 E HALLANDALE BCH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BCH
Practice Address - State:FL
Practice Address - Zip Code:33009
Practice Address - Country:US
Practice Address - Phone:954-454-6300
Practice Address - Fax:954-454-6325
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL33403207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine