Dr John B Stark, MD | |
One Orthopaedic Place, St. Augustine, FL 32086-4202 | |
(904) 825-0540 | |
(904) 209-1055 |
Full Name | Dr John B Stark |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Hand Surgery |
Location | One Orthopaedic Place, St. Augustine, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922087618 | NPI | - | NPPES |
036112556 | Medicaid | IL | |
1174540001 | Other | FL | DMERC CIGNA GOUT SVCS |
1174540001 | Other | FL | DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | ME96534 (Florida) | Secondary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | ME96534 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr John B Stark, MD 316 View Point Pl, St Augustine, FL 32080-6151 Ph: (904) 825-0540 | Dr John B Stark, MD One Orthopaedic Place, St. Augustine, FL 32086-4202 Ph: (904) 825-0540 |
Mr. Samy Farid Bishai, M.D Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2514 Us 1 South, St. Augustine, FL 32086 Phone: 904-794-0405 Fax: 904-794-0617 |