Mark Anthony Stawara, MD | |
2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073-4462 | |
(904) 272-0384 | |
(904) 272-6748 |
Full Name | Mark Anthony Stawara |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2035 Professional Ctr Dr, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033168539 | NPI | - | NPPES |
068585200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0044101 (Florida) | Primary |
Entity Name | St Vincent's Ambulatory Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Entity Name | St Vincents Physician Enterprise Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477878486 PECOS PAC ID: 2668664962 Enrollment ID: O20101005000809 |
Mailing Address | Practice Location Address |
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Mark Anthony Stawara, MD 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073-4462 Ph: (904) 272-0384 | Mark Anthony Stawara, MD 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073-4462 Ph: (904) 272-0384 |
Payal Paresh Patel Shooliz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 102, Orange Park, FL 32073 Phone: 904-215-2510 Fax: 904-215-1515 | |
Eugene H Mccoskey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave Ste 404, Orange Park, FL 32073 Phone: 904-441-1111 Fax: 904-441-1111 | |
Dr. Nadeem Maalouli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-213-0600 Fax: 904-213-0303 | |
Omer Ismaeel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2140 Kingsley Ave Ste 1, Orange Park, FL 32073 Phone: 904-368-6809 | |
Shradha Pokharel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2021 Kingsley Ave, Suite 101, Orange Park, FL 32073 Phone: 904-298-2113 Fax: 904-298-1922 | |
Charles Edward Phillips, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2035 Professional Ctr Dr, Ste C, Orange Park, FL 32073 Phone: 904-272-0384 Fax: 904-272-6748 |