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MR. ERIC F STAKEBAKE MPAS PA-C NPI 1619215738


NPI Information

NPI: 1619215738
Provider Name: MR. ERIC F STAKEBAKE, MPAS, PA-C
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
6500 N SOCRUM LOOP RD STE 200
LAKELAND, FL
ZIP 33809
Phone: (863) 853-3331
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MR. Eric F Stakebake, MPAS, PA-C is a neurology psychiatry neurology in Lakeland, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MR. Eric F Stakebake, MPAS, PA-C NPI is 1619215738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6500 N SOCRUM LOOP RD STE 200
LAKELAND, FL
ZIP 33809-179
Phone: (863) 853-3331
Fax: (863) 853-3337

The NPI 1619215738 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2013 and was last updated on 12/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology9112051FLORIDANo
2363A00000XPhysician Assistant2853911206UTAHNo
32084N0400XPsychiatry & NeurologyNeurology9112051FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.