Individual
DR. GARY KENT STOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2105 PREVATT ST, EUSTIS, FL 32726-6131
(352) 357-7955
(352) 357-7254
Mailing address
2105 PREVATT ST, EUSTIS, FL 32726-6131
(352) 357-7955
(352) 357-7254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350053967
MEDICARE RAILROAD
FL
05
—
380263900
—
FL
01
—
89727
BLUE CROSS BLUE SHIELD
FL
01
—
CH2081
WORK COMPENSATION
FL
Enumeration date
01/04/2006
Last updated
10/05/2011
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