KENNETH E STARK MD PA
Osteopathic Medicine at Banning Beach Rd, Tavares, FL

License number
Florida ME0045588
Category
Osteopathic Medicine
Type
Rheumatology
Owner
Name: KENNETH E STARK MD
Title: PHYSICIAN
Phone: (352) 343-7735
Address
Address
1613 Banning Beach Rd, Tavares, FL 32778
National Provider ID: 1295916476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Kenneth E. Stark, M.D., PA

1613 Banning Bch Rd, Tavares, FL 32778

Registration:
Sep 30, 2004
State ID:
P04000136555
Business type:
Domestic for Profit Corporation
Director:
Kenneth E. Stark (Director)

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