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Contact Information

PETER J STIBBS, MD
621 PAVIA LOOP
LAKE MARY, FL32746-2658
 Phone: 863-226-7417
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Legal Medicine

173000000X
 

Military Health Care Provider

171000000X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Radiology Practitioner Assistant

243U00000X
Indicates primary specialty

NPI Profile & details for PETER J STIBBS · (Male)

NPI # 1356627335
Status Active
Credentials MD
Entity Individual
Enumeration date 10/23/2011
Last updated 11/12/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # HSE38975
  • FL License # RA41
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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