Individual
JARED C STINEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12479 TELECOM DR, TEMPLE TERRACE, FL 33637-0913
(813) 972-4199
(813) 972-5753
Mailing address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
(813) 972-5753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002713000
—
FL
Enumeration date
08/26/2010
Last updated
09/08/2014
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