MARK W. LASTARZA, M.D.
Osteopathic Medicine at Clyde Morris Blvd, Ormond Beach, FL

License number
Florida ME0075627
Category
Osteopathic Medicine
Type
Internal Medicine
Address
Address
335 Clyde Morris Blvd SUITE 290, Ormond Beach, FL 32174
Phone
(386) 672-3219
(386) 672-3160 (Fax)
National Provider ID: 1831165448
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MARK W. LASTARZA at bizstanding.com

Mark W. Lastarza, M.D., PA

335 Clyde Morris Blvd, Ormond Beach, FL 32174

Registration:
Jul 30, 2001
State ID:
P01000076127
Business type:
Domestic for Profit Corporation
Director:
Mark W. Lastarza (Director)

Professional information

Mark W Lastarza Photo 1

Mark W Lastarza, Ormond Beach FL
Specialties:
Internist
Address:
335 Clyde Morris Blvd, Ormond Beach, FL 32174
Education:
Doctor of Medicine
Board certifications:
American Board of Internal Medicine Certification in Internal Medicine

Osteopathic Medicine licenses in Florida










Other Doctors licenses in Florida