Dr. Stakem is great. However, his office manager is Fleming Island is extremely rude and unprofessional. When I arrived for surgery, she told me there might be an issue with my insurance, which I realize is her job. However, I was already anxious about having anesthesia and our engagement was so wildly inappropriate I almost walked out. When I asked her for a few minutes to calm down she told me I was acting like a little child. She raised her voice and talked over me in front of other patients in the waiting room. It was a humiliating experience that went on for over 10 minutes. She was so confrontational and all of this came from a mistake that her office made. I am still in shock with the way she dealt with me. I have never been spoken to like that before. My 70 year old aunt who was driving me for my procedure said she's never seen anything like it. I would highly discourage anyone from going to this practice as long as she is employed there.