Individual
MR. ERIC F STAKEBAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
429 2ND ST NW, WINTER HAVEN, FL 33881-4168
(813) 321-1786
(813) 321-1787
Mailing address
18228 N US HIGHWAY 41, LUTZ, FL 33549-4400
(813) 321-1786
(813) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112051
FL
Other
Enumeration date
01/24/2013
Last updated
05/08/2025
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