Individual
CHAD A STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 474-9599
Mailing address
24190 NW 160TH AVE, HIGH SPRINGS, FL 32643-6830
(352) 474-9599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9502721
FL
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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