# STARKE HMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shands Medical Group of Starke
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457448284
- **Authorized official:** PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (615) 925-4565

## Contact information

- **Practice address:** 1550 S WATER ST, STARKE, FL 32091-4511
- **Practice address phone:** (904) 368-2343
- **Practice address fax:** (352) 733-0069
- **Mailing address:** 1550 S WATER ST, STARKE, FL 32091-4511
- **Mailing address phone:** (904) 368-2343
- **Mailing address fax:** (352) 733-0069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 4267 | FL | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 01/08/2018
