Individual
PAMELA JEAN STOIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4215 EDGEWATER DR, ORLANDO, FL 32804-2206
(973) 826-8080
(888) 972-6480
Mailing address
PO BOX 4059, WAYNE, NJ 07474-4059
(973) 826-8080
(888) 972-6480
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085002539
IL
363AS0400X
Surgical Physician Assistant
Primary
PA9108871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222323
BCBS
IL
01
—
IS471W
QSS SOUTHEAST CLINICAL SERVICES - PTAN
FL
01
—
P00339334
MEDICARE RAILROAD
IL
Enumeration date
01/06/2006
Last updated
07/21/2022
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