IndividualActive
Shane Stockelman, ATC, LAT
NPI 1932731684 · Sports Medicine (Internal Medicine) Physician · Tallahassee, FL
Provider details
- NPI number
- 1932731684
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5752 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3334 Capital Medical Blvd
Tallahassee, FL 32308-8405
Phone: (850) 877-8174
Approximate (ZIP-level) locationGet directions
Mailing address
1420 N Meridian Rd Apt 128
Tallahassee, FL 32303-5658
Registry dates
- Enumerated
- 2020-02-11
- Last updated
- 2020-02-11
- Certified
- 2020-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.