| Stacy L Harbin, MD | |
|
3871 E Highway 98 Ste 200, Port St Joe, FL 32456-5302 | |
| (850) 229-5833 | |
| Not Available |
| Full Name | Stacy L Harbin |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3871 E Highway 98 Ste 200, Port St Joe, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275639254 | NPI | - | NPPES |
| 000000329454 | Other | BCBS PROVIDER NUMBER | |
| 31761 | Other | KY | LICENSE |
| 64317613 | Medicaid | KY | |
| ME108578 | Other | FLORDIA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 31761 (Kentucky) | Secondary |
| 208600000X | Surgery | ME108578 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy L Harbin, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: Not Available | Stacy L Harbin, MD 3871 E Highway 98 Ste 200, Port St Joe, FL 32456-5302 Ph: (850) 229-5833 |
Jeffrey Robert Root, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3871 E Highway 98 Ste 200, Port St Joe, FL 32456 Phone: 850-229-5833 Fax: 850-229-5832 |