Individual provider Active NPI

Elizabeth Stoklosa, PA

  • Surgical Physician Assistant
  • Daytona Beach, FL
National Provider Identifier
1437395324
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9105437 Issued in FL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090415000527 FL Practitioner - Physician Assistant 1557381878 Reassigns benefits to 2 organizations

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
PRC Associates LLCGroup PAC ID 5890698708, 15 clinicians

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

LicenseStateTypeSpecialty
001683CTMDProfessional Counselor
PA9105437FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PRC Associates LLC CurrentSince Jun 10, 2024 Accepting new patients
PRC Associates LLC CurrentSince Jun 10, 2024 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.

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

Verify at the official NPI Registry.