SHANE THOMAS STOCKELMAN

TALLAHASSEE, FL
NPI1932731684
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RS0010X Internal Medicine, Sports Medicine
(Licence: FL  5752)
Enumeration Date2020-02-11
Last Update Date2020-02-11
Business Address
Mr. SHANE THOMAS STOCKELMAN ATC, LAT
3334 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308-8405
Phone number: 850-877-8174
Mailing Address
Mr. SHANE THOMAS STOCKELMAN ATC, LAT
1420 N MERIDIAN RD APT 128
TALLAHASSEE, FL 32303-5658
Phone number: 954-650-0333
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