Individual
DR. PETER JAMES STIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 PAVIA LOOP, LAKE MARY, FL 32746-2658
(863) 226-7417
Mailing address
621 PAVIA LOOP, LAKE MARY, FL 32746-2658
(863) 226-7417
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
173000000X
Legal Medicine
—
—
208D00000X
General Practice Physician
Primary
HSE38975
FL
243U00000X
Radiology Practitioner Assistant
RA41
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/23/2011
Last updated
11/12/2025
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