Active NPI
Elizabeth Stoklosa, PA
- Surgical Physician Assistant
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9105437
- Practice address
- 1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590 - Phone
- (386) 274-2977
- Fax
- (386) 317-5164
- NPI assigned
- Dec 23, 2008
- Last updated
- Jan 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9105437 | FL | Primary |
Addresses
Primary practice location
1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Mailing address
1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1165 Dunlawton Ave
Suite 101
Port Orange, FL 32127-2924
Phone (386) 760-0815
1671 N Clyde Morris Blvd
Daytona Beach, FL 32117-5590
Phone (386) 274-2977
21 Hospital Dr
Suite 120
Palm Coast, FL 32164-2453
Phone (386) 586-2280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001683 | CT | MD | Professional Counselor |
| PA9105437 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PRC Associates LLC | Current | Accepting new patients | |
| PRC Associates LLC | Current | Accepting new patients |
Locations
1671 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32117
Phone (386) 274-2977
750 W Plymouth Ave
#B
Deland, FL 32720
Phone (386) 740-1123
644 W Plymouth Ave
Deland, FL 32720
Phone (386) 410-4926
761 Stirling Center Pl
Lake Mary, FL 32746
Phone (386) 274-2977
245 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 410-4926
501 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 265-1913
2720 Rebecca Ln
Ste 104
Orange City, FL 32763
Phone (386) 456-1160
21 Hospital Dr
Ste 120
Palm Coast, FL 32164
Phone (386) 586-2280
1165 Dunlawton Ave
Ste 101
Pt Orange, FL 32127
Phone (386) 760-0815
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine Physician
- Daytona Beach, FL
- NPI 1558310128
-
- Pain Medicine Physician
- Deland, FL
- NPI 1902935927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1437395324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 N CLYDE MORRIS BLVD STE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175590",
"telephone_number": "386-274-2977",
"fax_number": "386-317-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1671 N CLYDE MORRIS BLVD STE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175590",
"telephone_number": "386-274-2977",
"fax_number": "386-317-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKLOSA",
"first_name": "ELIZABETH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-23",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9105437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.