Individual
DR. JONATHAN A STAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8786 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-6347
(904) 997-9202
(904) 997-9205
Mailing address
8786 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-6347
(904) 997-9202
(904) 996-1446
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
68566
GA
207W00000X
Ophthalmology Physician
Primary
ME114146
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
68566
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME114146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135004B
—
GA
05
—
008870100
—
FL
Enumeration date
08/05/2007
Last updated
04/19/2023
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