Eric F. Stakebake, MPAS, PA-C

Physician Assistant · Winter Haven, FL

Individual Active NPI

NPI number 1619215738

Practice location

429 2ND St NW
Winter Haven, FL 33881-4168
Phone
(813) 321-1786
Fax
(813) 321-1787

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NPI record

NPI
1619215738
Entity type
Individual (Type 1)
Enumeration date
January 24, 2013
Last updated
May 8, 2025
Certified
May 8, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9112051 FL

Mailing address

18228 N Us Highway 41
Lutz, FL 33549-4400
Phone
(813) 321-1786
Fax
(813) 321-1787

About Eric Stakebake

Eric F. Stakebake, MPAS, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 429 2ND St NW, Winter Haven, FL 33881-4168. The NPI number 1619215738 was assigned on January 24, 2013 and the record was last updated on May 8, 2025.

Eric Stakebake lists a license in the registry: #PA9112051 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eric F. Stakebake, MPAS, PA-C?

The NPI number is 1619215738.

What is the phone number of Eric Stakebake?

The phone number listed for the practice location is (813) 321-1786.

Where is Eric Stakebake located?

429 2ND St NW, Winter Haven, FL 33881-4168.

What is the taxonomy code for Eric Stakebake?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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