Individual
STEWART ALLEN SKIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 SUN N LAKE BLVD, SUITE 103, SEBRING, FL 33872-2162
(863) 385-1900
(863) 385-9229
Mailing address
4301 SUN N LAKE BLVD, SUITE 103, SEBRING, FL 33872-2162
(863) 385-1900
(863) 385-9229
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME41089
FL
2086S0129X
Vascular Surgery Physician
ME41089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045115100
—
FL
01
—
30602
BCBS
FL
01
—
P00039972
RAILROAD MEDICARE
—
Enumeration date
06/13/2006
Last updated
08/23/2013
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