Kenneth E Stark is a Rheumatology in Tavares, Florida. Kenneth E Stark practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Kenneth E Stark is 1558346262. The last update date is 2012-10-09.
Kenneth E Stark's current location address is 1613 Banning Beach Rd, Tavares, Florida. You can contact this provider via phone number 3523437735 and fax number 3523437740. The mailing address for Kenneth E Stark is 1613 Banning Beach Rd, Tavares, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth E Stark |
|---|---|
| Address | 1613 Banning Beach Rd, Tavares, Florida |
| Phone Number | 3523437735 |
| Fax Number | 3523437740 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558346262 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2012-10-09 |
Provider Mailing Address Detail
| Address | 1613 Banning Beach Rd |
|---|---|
| City | Tavares |
| State | Florida (FL) |
| Post Code | 327782024 |
| Phone Number | 3523437735 |
| Fax Number | 3523437740 |
Provider's Primary Taxonomy Detail
| Speciality | Rheumatology |
|---|---|
| Taxonomy | 207Rr0500X |
| Licence No | 45588 |
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Definition: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370164600 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth E Stark by the Centers for Medicare & Medicaid Services?
The Kenneth E Stark has been assigned the NPI (National Provider Identifier) 1558346262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kenneth E Stark located?
The Kenneth E Stark is located at 1613 Banning Beach Rd, Tavares, FL 327782024.
What is Kenneth E Stark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth E Stark's specialized field of practice is Rheumatology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rr0500X.
When did Kenneth E Stark receive its 1558346262 assignment?
The Kenneth E Stark was assigned its 1558346262 on 2005-12-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kenneth E Stark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth E Stark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-09.