Organization
FLORIDA RETINA INSTITUTE JAMES A STAMAN MD LLC
Active
Other names
Florida Retina Institute
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA DIANE STUCKEY (ADMINISTRATIVE SUPERVISOR)
(904) 997-9202
Entity
Organization
Contact information
Practice address
95 COLUMBIA ST, ORLANDO, FL 32806-1101
(407) 849-9621
(407) 367-6346
Mailing address
95 COLUMBIA ST, ORLANDO, FL 32806-1101
(407) 849-9621
(407) 367-6346
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064255019
—
FL
05
—
116137100
—
FL
05
—
116137101
—
FL
05
—
116137102
—
FL
05
—
116137103
—
FL
05
—
116137104
—
FL
05
—
116137105
—
FL
05
—
116137106
—
FL
05
—
116137108
—
FL
05
—
116137109
—
FL
05
—
116137110
—
FL
05
—
116137111
—
FL
05
—
116137112
—
FL
05
—
116137113
—
FL
05
—
116137114
—
FL
05
—
116137115
—
FL
05
—
116137116
—
FL
05
—
116137117
—
FL
05
—
116137118
—
FL
05
—
116137119
—
FL
01
—
CA3363
MEDICARE RAILROAD
FL
Enumeration date
12/01/2006
Last updated
04/17/2024
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