Individual
JOEL DALE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
7189
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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