Stawara, Mark Anthony
Stawara, Mark Anthony is an sole proprietor health care provider with primary practice located at 2035 Professional Ctr Dr Suite C, Orange Park FL 32073-4462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stawara, Mark Anthony can be contacted via phone (904) 272-0384.Contact Information
Primary practice address
2035 Professional Ctr Dr Suite C
Orange Park FL 32073-4462
Phone: (904) 272-0384
Fax: (904) 272-6748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0044101 | Florida |
Profile Details
| NPI number | 1033168539 |
|---|---|
| LBN Legal business name | Stawara, Mark Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | May 22nd, 2014 - about 11 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 | 1033168539 | NPPES |
| Florida | MEDICAID | 068585200 |
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