MEDICARE: DR. WILLIAM JOE STAMPER M.D.

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
1	207Q00000X	Family Medicine Physician	ME 0055140	FL
2	207QA0505X	Adult Medicine Physician	ME 0055140	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18844	OTHER	KY	KY STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	ME0055140	OTHER	FL	FLORIDA STATE LICENSE
4	7861	OTHER	SC	SC LICENSE

General Provider Information

NPI Number	:	1447288949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JOE STAMPER M.D.

Provider Business Mailing Address
First Line	:	13438 FORT KING RD
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-5214
Country	:	US
Telephone Number	:	352-567-5266
Fax Number	:	352-567-3066

Provider Business Practice Location Address
First Line	:	13438 FORT KING RD
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-5214
Country	:	US
Telephone Number	:	352-567-5266
Fax Number	:	352-567-3066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	03/07/2023

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