Provider Demographics
NPI:1316984875
Name:STOKKE, DARIN W (DC)
Entity type:Individual
Prefix:DR
First Name:DARIN
Middle Name:W
Last Name:STOKKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11300 LINDBERGH BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8827
Mailing Address - Country:US
Mailing Address - Phone:239-335-9344
Mailing Address - Fax:239-335-9358
Practice Address - Street 1:11300 LINDBERGH BLVD STE 110
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913
Practice Address - Country:US
Practice Address - Phone:239-335-9344
Practice Address - Fax:239-335-9358
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9675111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000VPOtherBCBS