Stakebake, Eric F

Stakebake, Eric F is an individual health care provider with primary practice located at 6500 N Socrum Loop Rd Ste 200 , Lakeland FL 33809-4179. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Stakebake, Eric F can be contacted via phone (863) 853-3331.

Contact Information

Primary practice address
6500 N Socrum Loop Rd Ste 200 Lakeland FL 33809-4179
Phone: (863) 853-3331
Fax: (863) 853-3337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 9112051 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2853911206 Utah
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 9112051 Florida

Profile Details

NPI number 1619215738
LBN Legal business name Stakebake, Eric F
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Dec 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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