person
Leah Jacqueline Stubblefield, PA-C
Medical Physician Assistant in St Petersburg, Florida
NPI 1073773206

Leah Jacqueline Stubblefield is a Medical Physician Assistant based in St Petersburg, FL and is specialized in Medical. Leah Jacqueline Stubblefield practices in St Petersburg, FL and has the professional credentials of PA-C. The NPI Number for Leah Jacqueline Stubblefield is 1073773206 and holds a License No. PA910479 (Florida).

The current practice location address for Leah Jacqueline Stubblefield is 5880 49Th St N, St Petersburg, FL and can be reached out via phone at 727-528-6100 and via fax at 727-528-7895.

Location: 5880 49Th St N, St Petersburg, FL, 33709-2150
person
Provider Profile Details
NPI Number
1073773206
Provider Name
Leah Jacqueline Stubblefield
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5880 49Th St N, St Petersburg, FL, 33709-2150
Phone Number
727-528-6100
Fax Number
727-528-7895
Provider Enumeration Date
06/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001677500 05 FL
AL867Y 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
5880 49Th St N
City
State
Zip
33709-2150
Phone Number
727-528-6100
Fax Number
727-528-7895
person
Provider Business Mailing Address Details
Address
5880 49Th St N
City
State
Zip
33709-2150
Phone Number
727-528-6100
Fax Number
727-528-7895
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA910479 (Florida)
Definition
Definition to come...
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