Stark, Ron

Stark, Ron is an sole proprietor health care provider with primary practice located at 3000 N Atlantic Ave Ste 102 , Cocoa Beach FL 32931-5045. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Stark, Ron can be contacted via phone (321) 784-5367.

Contact Information

Primary practice address
3000 N Atlantic Ave Ste 102 Cocoa Beach FL 32931-5045
Phone: (321) 784-5367
Fax: (321) 783-2290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY2385 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH17239 Florida

Profile Details

NPI number 1710531314
LBN Legal business name Stark, Ron
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2019
Last updated Jul 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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