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Individual

ABBY STACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2727 W DR MARTIN LUTHER KING JR BLVD STE 200, TAMPA, FL 33607-6003
(813) 859-7246
Mailing address
502 S FREMONT AVE APT 420, TAMPA, FL 33606-2095
(315) 877-8079

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
FL

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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