Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerald Stacks, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881496420

Jerald Stacks, DO is a Student in an Organized Health Care Education/Training Program in Miami Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4300 Alton Rd
Miami Beach, FL 33140-2948
Phone: (305) 674-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (FL)

Record details

NPI number1881496420
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 25, 2025
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address544 Ne 62nd St Apt 3, Miami, FL 33138-6140

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