Individual
DR. JOSEPH DEAN STILLWORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ZEAGLER DR SUITE 320, PALATKA, FL 32177
(386) 328-9977
(328) 329-1953
Mailing address
800 ZEAGLER DR SUITE 320, PALATKA, FL 32177
(386) 328-9977
(386) 329-1953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME0046885
FL
2086S0129X
Vascular Surgery Physician
Primary
ME0046885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047429100
—
FL
Enumeration date
04/11/2006
Last updated
02/13/2009
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