Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Eric F Stakebake, MPAS, PA-C

Individual provider Physician Assistant · NPI 1619215738

Mr. Eric F Stakebake, MPAS, PA-C is a Physician Assistant in Winter Haven, Florida. Qualified in 2012, 14 years ago. Practices with Suncoast Skin Solutions, a 99-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

429 2nd St NW
Winter Haven, FL 33881-4168
Phone: (813) 321-1786
Fax: (813) 321-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112051 (FL)

Record details

NPI number1619215738
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2013
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Suncoast Skin Solutions — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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