Kenneth E Stark Md Pa

LBN: Kenneth E Stark Md Pa
Kenneth E Stark Md Pa is an health care organization with primary practice located at 1613 Banning Beach Rd , Tavares FL 32778-2024. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Kenneth E Stark Md Pa can be contacted via phone (352) 343-7735, or through Stark, Kenneth E via phone (352) 343-7735.

Contact Information

Primary practice address
1613 Banning Beach Rd Tavares FL 32778-2024
Phone: (352) 343-7735
Fax: (352) 343-7740
Website:
Map and Directions
Authorized official contact:
Name: Stark, Kenneth E Doctor of Medicine (MD)
Phone: (352) 343-7735

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME0045588 Florida

Profile Details

NPI number 1295916476
LBN Legal business name Kenneth E Stark Md Pa
DBA Doing business as
Authorized official Stark, Kenneth E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295916476 NPPES
Florida Other 09127 BCBS OF FLORIDA
Florida MEDICAID 370164600 BCBS OF FLORIDA
Florida Other 6515425 BCBS OF FLORIDA

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