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Stuart Malcolm Graham

Pathology

Allopathic & Osteopathic Physicians

11211 Prosperity Farms Rd, Suite D129 - Oakpark, Palm Beach Gardens, FL 33410-3446

PECOS Enrollment

This provider is enrolled in PECOS as STUART GRAHAM.

Based on the most recent information from CMS, provider Stuart Malcolm Graham is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1336109461
Provider Type
Individual
Full Name
Graham, Stuart Malcolm
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/24/2006
Last Updated
9/11/2025

Contact Information

Practice Location

11211 Prosperity Farms Rd, Suite D129 - Oakpark, Palm Beach Gardens, FL 33410-3446

(561) 775-9288

(561) 624-4460

Mailing Location

11211 Prosperity Farms Rd, Suite D129 - Oakpark, Palm Beach Gardens, FL 33410-3446

(561) 775-9288

(561) 828-5834

Provider Taxonomies

Code	Description	License
Code 207ZP0102X Primary	Description Pathology Allopathic & Osteopathic Physicians	License ME37835 Florida
Code 207ZC0500X	Description Pathology Allopathic & Osteopathic Physicians	License ME37835 Florida
Code 207ZF0201X	Description Pathology Allopathic & Osteopathic Physicians	License ME37835 Florida

Stuart Malcolm Graham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Balu, Daya

Stuart M. Graham Jr Md Pl

Elie, Roland C.

Payne-Blackman, Shakira L

Zeller, Donald

Mortuza, Shaikh A

Palm Beach Pathology, Pa

Ferra, Susana