Individual
JOSHUA DEA STOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
14095 CORTEZ BLVD, BROOKSVILLE, FL 34613-5794
(813) 321-1786
(813) 321-1787
Mailing address
18228 N US HIGHWAY 41, LUTZ, FL 33549-4400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117649
FL
Other
Enumeration date
05/23/2023
Last updated
07/19/2023
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