Individual
JACK DOUGLAS STEMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 PERFORMANCE PL, JACKSONVILLE, FL 32202-1809
(405) 612-2671
Mailing address
10667 BRIGHTMAN BLVD APT 4304, JACKSONVILLE, FL 32246-7519
(405) 612-2671
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL7131
FL
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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