# FLORIDA RETINA INSTITUTE JAMES A STAMAN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Retina Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447328026
- **Authorized official:** REBECCA DIANE STUCKEY (ADMINISTRATIVE SUPERVISOR)
- **Authorized official phone:** (904) 997-9202

## Contact information

- **Practice address:** 95 COLUMBIA ST, ORLANDO, FL 32806-1101
- **Practice address phone:** (407) 849-9621
- **Practice address fax:** (407) 367-6346
- **Mailing address:** 95 COLUMBIA ST, ORLANDO, FL 32806-1101
- **Mailing address phone:** (407) 849-9621
- **Mailing address fax:** (407) 367-6346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | — |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 04/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 064255019 | — | FL |
| 05 | — | 116137100 | — | FL |
| 05 | — | 116137101 | — | FL |
| 05 | — | 116137102 | — | FL |
| 05 | — | 116137103 | — | FL |
| 05 | — | 116137104 | — | FL |
| 05 | — | 116137105 | — | FL |
| 05 | — | 116137106 | — | FL |
| 05 | — | 116137108 | — | FL |
| 05 | — | 116137109 | — | FL |
| 05 | — | 116137110 | — | FL |
| 05 | — | 116137111 | — | FL |
| 05 | — | 116137112 | — | FL |
| 05 | — | 116137113 | — | FL |
| 05 | — | 116137114 | — | FL |
| 05 | — | 116137115 | — | FL |
| 05 | — | 116137116 | — | FL |
| 05 | — | 116137117 | — | FL |
| 05 | — | 116137118 | — | FL |
| 05 | — | 116137119 | — | FL |
| 01 | — | CA3363 | MEDICARE RAILROAD | FL |