Provider Demographics
NPI:1962817189
Name:STUNTZ, MIKE (MD)
Entity Type:Individual
Prefix:DR
First Name:MIKE
Middle Name:
Last Name:STUNTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:43309 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-6221
Mailing Address - Country:US
Mailing Address - Phone:727-938-2020
Mailing Address - Fax:727-938-5606
Practice Address - Street 1:25232 ST ROAD 54
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-6244
Practice Address - Country:US
Practice Address - Phone:813-953-1170
Practice Address - Fax:813-953-1061
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME143814207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology