Individual
JASON P STABLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2022044400
MO
2084N0400X
Neurology Physician
DO213896
OR
2084N0400X
Neurology Physician
OS008896L
PA
2084N0400X
Neurology Physician
Primary
OS9051
FL
208M00000X
Hospitalist Physician
OS9051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270468400
—
FL
01
—
82352
FLORIDA BLUE
FL
Enumeration date
08/03/2006
Last updated
06/13/2025
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