Individual
SAUNDRA STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 14, TAMPA, FL 33612-4742
(813) 974-8900
Mailing address
3515 E FLETCHER AVE, TAMPA, FL 33613-4706
(813) 974-2805
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME69922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258574000
—
FL
01
—
49937
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/18/2006
Last updated
05/12/2025
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