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General NPI Number Information
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NPI Number | 1447328026
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Entity Type | Organization
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Legal Business Name | FLORIDA RETINA INSTITUTE JAMES A STAMAN MD LLC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 95 COLUMBIA ST
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City | ORLANDO
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State | FL
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Zip | 32806-1101
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Country | US
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Telephone | 407-849-9621
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Fax | 407-367-6346
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Provider Business Mailing Address
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Address Line | 95 COLUMBIA ST
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City | ORLANDO
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State | FL
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Zip | 32806-1101
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Country | US
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Telephone | 407-849-9621
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Fax | 407-367-6346
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Authorized Official
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Title or Position | ADMINISTRATIVE SUPERVISOR
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Name | REBECCA DIANE STUCKEY
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Credential |
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Telephone | 904-997-9202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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