Individual
GERALD KEITH STANGA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8110 SUMMER BAY CT, JACKSONVILLE, FL 32256-3938
(321) 759-6054
Mailing address
8110 SUMMER BAY CT, JACKSONVILLE, FL 32256-3938
(321) 759-6054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110980
FL
363A00000X
Physician Assistant
—
FL
Other
Enumeration date
01/03/2018
Last updated
09/14/2018
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