Individual
ELIZABETH STOKLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1671 N CLYDE MORRIS BLVD STE 100, DAYTONA BEACH, FL 32117-5590
(386) 274-2977
(386) 317-5164
Mailing address
1671 N CLYDE MORRIS BLVD STE 100, DAYTONA BEACH, FL 32117-5590
(386) 274-2977
(386) 317-5164
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022305300
—
FL
01
—
Y00U9
FLORIDA BLUE
FL
Enumeration date
12/23/2008
Last updated
01/21/2026
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