institution
Russell Stackhouse Md Pa
Orthopedic Foot and Ankle Surgery Physician in Fernandina, Florida
NPI 1538655014

Russell Stackhouse Md Pa is a Orthopedic Foot and Ankle Surgery Physician based in Fernandina, FL and is specialized in Foot and Ankle Surgery. Russell Stackhouse Md Pa practices in Fernandina, FL. The NPI Number for Russell Stackhouse Md Pa is 1538655014 and holds a License No. ME117902 (Florida).

The current practice location address for Russell Stackhouse Md Pa is 6 S 14Th St, Fernandina, FL and can be reached out via phone at 904-261-5741 and via fax at 904-261-7383.

Location: 6 S 14Th St, Fernandina, FL, 32034-3212
institution
Provider Profile Details
NPI Number
1538655014
Provider Name
Russell Stackhouse Md Pa
Credential
Provider Entity Type
Organization
Address
6 S 14Th St, Fernandina, FL, 32034-3212
Phone Number
904-261-5741
Fax Number
904-261-7383
Provider Enumeration Date
07/08/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070583 01 DATE OF BIRTH
institution
Provider Business Practice Location Address Details
Address
6 S 14Th St
City
State
Zip
32034-3212
Phone Number
904-261-5741
Fax Number
904-261-7383
person
Provider Business Mailing Address Details
Address
6 S 14Th St
City
State
Zip
32034-3212
Phone Number
904-261-5741
Fax Number
904-261-7383
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
License No.
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Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
License No.
ME117902 (Florida)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
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