Healthcare Provider Details

I. General information

NPI: 1134052814
Provider Name (Legal Business Name): DR. JOEL CONNOR STENGEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MICCOSUKEE RD
TALLAHASSEE FL
32308-5054
US

IV. Provider business mailing address

1955 N CROOKED CREEK DR
PERRY FL
32347-0613
US

V. Phone/Fax

Practice location:
  • Phone: 850-431-5021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS67256
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: