Provider Demographics
NPI:1568432375
Name:STONEKING, CARRIE MAE (DO)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:MAE
Last Name:STONEKING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2600 WESTHALL LANE
Mailing Address - Street 2:BOX 300
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751
Mailing Address - Country:US
Mailing Address - Phone:407-200-2807
Mailing Address - Fax:407-200-1353
Practice Address - Street 1:38021 MARKET SQ
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-7504
Practice Address - Country:US
Practice Address - Phone:813-715-0374
Practice Address - Fax:813-355-5090
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS12096207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010462200Medicaid
FLP01268081OtherR&R MEDICARE
FLP01268081OtherR&R MEDICARE