Individual
PAUL STOCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPGST, CRT
Contact information
Practice address
1990 W NEW HAVEN AVE, MELBOURNE, FL 32904-3920
(321) 768-6119
Mailing address
2090 STRATFORD POINTE DR, WEST MELBOURNE, FL 32904-8007
(646) 269-9324
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT16549
FL
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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