Individual provider · Type 1 NPI

Eric F. Stakebake, MPAS, PA-C

Physician Assistant · Winter Haven, FL

NPI number 1619215738 Active

Practice location

429 2nd St NW
Winter Haven, FL 33881-4168

Fax (813) 321-1787

Mailing address

18228 N US Highway 41
Lutz, FL 33549-4400

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9112051 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619215738

Eric F. Stakebake, MPAS, PA-C's National Provider Identifier is 1619215738, issued on Jan 24, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winter Haven, FL. The record was last updated on May 8, 2025.