Individual
CORINNE LILLIAN STOBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 974-2000
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME109556
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
RS20070382
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2007
Last updated
08/16/2021
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