Stephen H Stark in Inverness - Cardiovascular Disease
Stephen H Stark - NPI 1912981119
Stephen H Stark is a Cardiovascular Disease in Inverness, Florida. Stephen H Stark practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Stephen H Stark is 1912981119. The last update date is 2009-10-09.
Stephen H Stark's current location address is 308 W Highland Blvd, Inverness, Florida. You can contact this provider via phone number 3527268353 and fax number 3527265038. The mailing address for Stephen H Stark is 308 W Highland Blvd, Inverness, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen H Stark |
|---|---|
| Address | 308 W Highland Blvd, Inverness, Florida |
| Phone Number | 3527268353 |
| Fax Number | 3527265038 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912981119 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2009-10-09 |
Provider Mailing Address Detail
| Address | 308 W Highland Blvd |
|---|---|
| City | Inverness |
| State | Florida (FL) |
| Post Code | 344524716 |
| Phone Number | 3527268353 |
| Fax Number | 3527265038 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | ME30869 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2569084 | FL | CIGNA | |
| 269859500 | FL | MEDICAID GROUP | |
| ME30869 | FL | STATE LICENSE NUMBER | |
| 10721764 | FL | CAQH | |
| 30064 | FL | BCBS | |
| 77940 | FL | MEDICARE GROUP ID | |
| 77940 | BCBS GRP | ||
| CF1416 | FL | MEDICARE RR GROUP | |
| P00144401 | FL | MEDICARE RR | |
| 56651900 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stephen H Stark by the Centers for Medicare & Medicaid Services?
The Stephen H Stark has been assigned the NPI (National Provider Identifier) 1912981119 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Stephen H Stark's physical address?
The Stephen H Stark is physically located at 308 W Highland Blvd, in the city of Inverness, FL, with the postal code 344524716.
What is the Stephen H Stark's specialty and taxonomy code?
The Stephen H Stark's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
When did Stephen H Stark receive its 1912981119 assignment?
The Stephen H Stark was assigned its 1912981119 on 2005-12-01, which is the date when this unique identifier was issued to the organization.
As of what date were the Stephen H Stark's details last updated?
The information pertaining to the Stephen H Stark, including its address, specialty, and other details, was most recently updated on 2009-10-09.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY