Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | P1933 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | ME134381 | FL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | P1933 | TX |
NPI | 1154503274 |
---|---|
Provider Name | Dr. Zachary S Stinson |
First Address | Jacksonville, FL 32256-0532 |
Second Address | Orlando, FL 32827-7402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023112100 | (05) | FL |
8DU841 | BCBSTX (01) | TX |