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Individual

JOHN J STORK

Active
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Individual

JOHN J STORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME48078
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052302000
FL
01
10431
BCBSFL
FL
01
239216
AVMED
FL
01
270855
AVMED
FL
01
P000316736
RAIL ROAD MEDICARE
FL
01
P00323916
RAIL ROAD MEDICARE
FL
Enumeration date
05/06/2006
Last updated
03/10/2022
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