# STANLEY F. STOCKHAMMER, JR. D.O., P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578551842
- **Authorized official:** STANLEY F STOCKHAMMER JR. DO (PRES/OWNER)
- **Authorized official phone:** (386) 299-4543

## Contact information

- **Practice address:** 2370 E INTERNATIONAL SPEEDWAY BLVD, DELAND, FL 32724-2744
- **Practice address phone:** (386) 736-1105
- **Practice address fax:** (386) 734-1443
- **Mailing address:** 30 WINDING CREEK WAY, ORMOND BEACH, FL 32174-6773
- **Mailing address phone:** (386) 299-4543
- **Mailing address fax:** (386) 673-3324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 257429200 | — | FL |