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JERALD STACKS DO
NPI 1881496420
Student in an Organized Health Care Education/Training Program in Miami Beach, FL

Active since March 25, 2025
4300 ALTON RD, MIAMI BEACH, FL 33140(305) 674-2121 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerald Stacks Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERALD STACKS DO (NPI 1881496420) is an individual student in an organized health care education/training program in Miami Beach, Florida and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1881496420
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJERALD STACKSCredential: DO
Location Address4300 ALTON RDMiami Beach, FL 33140-2948
Mailing Address544 Ne 62nd St Apt 3Miami, FL 33138-6140 · (305) 299-8922
Phone(305) 674-2121
Sole ProprietorYes
Enumeration DateMarch 25, 2025
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1881496420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4300 ALTON RD, Miami Beach, FL 33140
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT SCORDATO JR. PA
Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2609
JESSICA EMILIA WAHI
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (304) 545-3095
JEAN CARLOS CORREA PHARMACIST
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2121
AM RYWLIN MD AND ASSOC PA
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2277
FREDERICK EMERSON HASTY IV
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2742
DR. JUSTIN DANA BURKHOLDER D.O.
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (610) 246-8011
DR. ELIAS ATRI MD
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273
ALEXIS CAMARGO DO
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerald Stacks's NPI number?

The NPI number for Jerald Stacks is 1881496420. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Jerald Stacks located?

Jerald Stacks practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (305) 674-2121.

What is Jerald Stacks's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jerald Stacks was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.