Individual
ALEC C. STALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME136094
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
N8350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234700
—
FL
Enumeration date
02/17/2007
Last updated
05/30/2019
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