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Thomas Stakem, D.D.S.,M.D

NPI 1932259405 · on the registry since 2007 · sole proprietor

Practice

Address
7175-01 U.S. Highway 17 South
Green Cove Springs, FL 32095
Phone
(904) 529-8889
Fax
(904) 529-8893

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida