Kenneth E Stark, MD | |
1613 Banning Beach Rd, Tavares, FL 32778-2024 | |
(352) 343-7735 | |
(352) 343-7740 |
Full Name | Kenneth E Stark |
---|---|
Gender | Male |
Speciality | Rheumatology |
Experience | 42 Years |
Location | 1613 Banning Beach Rd, Tavares, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558346262 | NPI | - | NPPES |
370164600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 045588 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Waterman | Tavares, FL | Hospital |
Orlando Health South Lake Hospital | Clermont, FL | Hospital |
Adventhealth Orlando | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kenneth E Stark Md Pa | 4880646330 | 4 |
Entity Name | Kenneth E Stark Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295916476 PECOS PAC ID: 4880646330 Enrollment ID: O20050214000305 |
Mailing Address | Practice Location Address |
---|---|
Kenneth E Stark, MD 1613 Banning Beach Rd, Tavares, FL 32778-2024 Ph: (352) 343-7735 | Kenneth E Stark, MD 1613 Banning Beach Rd, Tavares, FL 32778-2024 Ph: (352) 343-7735 |
Amy Reyes Arnaldy, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1749 David Walker Dr, Tavares, FL 32778 Phone: 352-343-0181 Fax: 352-343-0812 | |
Mr. Ronald Roth, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1824 Salk Ave, Tavares, FL 32778 Phone: 352-253-0244 Fax: 352-253-1175 | |
Jigna Hitesh Shah, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-636-2286 | |
Rosemary A Cirelli, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1876 Nightingale Ln, Tavares, FL 32778 Phone: 352-742-4447 Fax: 352-748-4448 | |
Dr. Cesar Armando Unyon, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1879 Nightingale Ln, Tavares, FL 32778 Phone: 352-343-5722 Fax: 352-343-7506 | |
Mr. Samuel J Goss, DO Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1879 Nightingale Lane, Suite C1, Tavares, FL 32778 Phone: 352-742-1171 Fax: 352-742-7241 | |
Cynthia A Laroe, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1840 Classique Lane, Tavares, FL 32778 Phone: 352-508-5046 Fax: 352-508-5048 |