Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1988
NPI: 1831260033
Practice Locations (2)
RUSSELL STACKHOUSE MD PA
6 S 14TH ST
FERNANDINA, FL 320343212
9042615741134
AEG FLORIDA PROFESSIONAL PLLC
560 RINEHART RD, SUITE 100
LAKE MARY, FL 327461500
4073337333
Source: CMS National Downloadable File, September 2026.