Leah J. Stubblefield PA-C
Medical Physician Assistant in St Petersburg, FL(View on Map)
Full Name
Leah Jacqueline Stubblefield PA-C
NPI Number
1073773206
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/11/2008
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA910479
Contact
Information
Purpose
Mailing
Location
Address
5880 49TH ST N
5880 49TH ST N
City
St Petersburg
St Petersburg
State
FL
FL
Postal Code
33709-2150
33709-2150
Country
US
US
Telephone Number
(727) 528-6100
(727) 528-6100
Identifiers
Identifier
001677500
AL867Y
Identifier State
FL
FL
Identifier Issuer
Unknown
MEDICARE PTAN
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/17/2018