Stark, T Gail
Stark, T Gail is an sole proprietor health care provider with primary practice located at 11739 Chanticleer Dr , Pensacola FL 32507-4150. She recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is her primary health care specialty. Stark, T Gail can be contacted via phone (850) 982-2625.Contact Information
Primary practice address
11739 Chanticleer Dr
Pensacola FL 32507-4150
Phone: (850) 982-2625
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO2420 | Florida |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 160 | Alabama |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO2420 | Florida |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 160 | Alabama |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | PO2420 | Florida |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 160 | Alabama |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | PO2420 | Florida |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 160 | Alabama |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO2420 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 160 | Alabama |
Profile Details
| NPI number | 1750460341 |
|---|---|
| LBN Legal business name | Stark, T Gail |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | May 10th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750460341 | NPPES |
| Florida | MEDICAID | 390273100 |
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