Jason Travis Stack
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
3955 Indian River Blvd Ste 100
Vero Beach
, Florida 32960-4800
Jason Travis Stack
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
3955 Indian River Blvd Ste 100
Vero Beach
, Florida 32960-4800
(772) 569-2630
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Jason Travis Stack
- 3955 Indian River Blvd Ste 100
- Vero Beach, FL
- Zip : 32960-4800
- Fax : (772) 569-2630
- Phone : (772) 569-2330
Second Address
- Jason Travis Stack
- 3955 Indian River Blvd Ste 100
- Vero Beach, FL
- Zip : 32960-4800
- Fax : (772) 569-2632
- Phone : (772) 569-2330
Reviews
FAQs
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What type of doctor is Jason Travis Stack
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | ME135652 | FL |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME135652 | FL |
National Provider Identifier
| NPI | 1164869699 |
|---|---|
| Provider Name | Jason Travis Stack |
| First Address | Vero Beach, FL 32960-4800 |
| Second Address | Vero Beach, FL 32960-4800 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2013 |
| Last Update Date | 08/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.