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Organization
STANLEY F. STOCKHAMMER, JR. D.O., P.A.
Active
Organization
STANLEY F. STOCKHAMMER, JR. D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY F STOCKHAMMER JR. DO (PRES/OWNER)
(386) 299-4543
Entity
Organization
Contact information
Practice address
2370 E INTERNATIONAL SPEEDWAY BLVD, DELAND, FL 32724-2744
(386) 736-1105
(386) 734-1443
Mailing address
30 WINDING CREEK WAY, ORMOND BEACH, FL 32174-6773
(386) 299-4543
(386) 673-3324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257429200
—
FL
Enumeration date
10/11/2005
Last updated
07/21/2022
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