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NPI Code Detail

MEDICARE: STANKUS FAMILY CARE

MEDICARE: STANKUS FAMILY CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner
2208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1215535794
Entity Type Code : Organization
Provider Name (Legal Business Name) : STANKUS FAMILY CARE
Provider Business Mailing Address
First Line : 18743 NW 234TH ST
Second Line :
City : HIGH SPRINGS
State : FL
Zip : 32643-0465
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18743 NW 234TH ST
Second Line :
City : HIGH SPRINGS
State : FL
Zip : 32643-0465
Country : US
Telephone Number : 352-214-5807
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOSEPH STANKUS
Credential : APRN
Telephone Number : 352-214-5807
Provider Enumeration Date : 10/15/2020
Last Update Date : 06/03/2022

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Directions to “STANKUS FAMILY CARE ” Practice Location

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