Leah Jacqueline Stubblefield in St Petersburg - Medical

Leah Jacqueline Stubblefield - NPI 1073773206

Leah Jacqueline Stubblefield is a Medical in St Petersburg, Florida. Leah Jacqueline Stubblefield practices all healthcare services and medical treatments related to Medical. The NPI Number for Leah Jacqueline Stubblefield is 1073773206. The last update date is 2018-03-17.

Leah Jacqueline Stubblefield's current location address is 5880 49th St N, St Petersburg, Florida. You can contact this provider via phone number 7275286100 and fax number 7275287895. The mailing address for Leah Jacqueline Stubblefield is 5880 49th St N, St Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Leah Jacqueline Stubblefield
Address 5880 49th St N, St Petersburg, Florida
Phone Number 7275286100
Fax Number 7275287895
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1073773206
Provider Enumeration Date 2008-06-11
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 5880 49th St N
City St Petersburg
State Florida (FL)
Post Code 337092150
Phone Number 7275286100
Fax Number 7275287895

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA910479
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1677500 FL --
AL867Y FL MEDICARE PTAN

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FAQs about Leah Jacqueline Stubblefield

What is the unique 10-digit identification code assigned to Leah Jacqueline Stubblefield by the Centers for Medicare & Medicaid Services?

The Leah Jacqueline Stubblefield has been issued the NPI (National Provider Identifier) 1073773206, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Leah Jacqueline Stubblefield is located?

The Leah Jacqueline Stubblefield is situated at the following address: 5880 49Th St N, St Petersburg, FL, 337092150.

What is Leah Jacqueline Stubblefield's area of expertise and its corresponding taxonomy classification?

The Leah Jacqueline Stubblefield's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.

When did Leah Jacqueline Stubblefield receive its 1073773206 assignment?

The Leah Jacqueline Stubblefield was assigned its 1073773206 on 2008-06-11, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Leah Jacqueline Stubblefield most recently updated or revised?

The details related to Leah Jacqueline Stubblefield, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-17.

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