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Individual

EMMA LOU STOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
110 NE 5TH STREET, CARRABELLE, FL 32322-3529
(850) 697-2345
(850) 653-1897
Mailing address
PO BOX 580, APALACHICOLA, FL 32329-0580
(850) 653-8853
(850) 653-1897

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME92047
FL
208D00000X
General Practice Physician
ME92047
FL
208D00000X
General Practice Physician
ME9247
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276117300
FL
01
52373
BCBS
FL
01
P00203892
RAILROAD MEDICARE
FL
Enumeration date
05/23/2006
Last updated
02/19/2016
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