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Individual

BENJAMIN LOUIE STALNAKER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5551 US HIGHWAY 98, SANTA ROSA BEACH, FL 32459
(850) 420-5420
(850) 244-8011
Mailing address
5551 US HIGHWAY 98, SANTA ROSA BEACH, FL 32459
(850) 420-5420
(850) 244-8011

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME10375
FL
207P00000X
Emergency Medicine Physician
MD.2888
AL
207P00000X
Emergency Medicine Physician
Primary
ME10375
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017811800
FL
01
17185
BCBS-FL
FL
Enumeration date
08/23/2006
Last updated
02/04/2022
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