Ron Stark, LMHC is a
Counselor - Mental Health based in Cocoa Beach, Florida. Ron Stark is licensed to practice in Florida (license number MH17239) and his current practice location is
3000 N Atlantic Ave Ste 102, Cocoa Beach, Florida. He can be reached at his office (for appointments etc.) via phone at
(321) 784-5367.
NPI number for Ron Stark is 1710531314 and his current mailing address is 3000 N Atlantic Ave Ste 102, Cocoa Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710531314.
Healthcare Provider's Profile
Full Name | Ron Stark |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 3000 N Atlantic Ave Ste 102, Cocoa Beach, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710531314
- Provider Enumeration Date: 07/31/2019
- Last Update Date: 07/31/2019
Medical Identifiers
Medical identifiers for Ron Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710531314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY2385 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH17239 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ron Stark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ron Stark, LMHC 3000 N Atlantic Ave Ste 102, Cocoa Beach, FL 32931-5045 Ph: (321) 784-5367 | Ron Stark, LMHC 3000 N Atlantic Ave Ste 102, Cocoa Beach, FL 32931-5045 Ph: (321) 784-5367 |
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