Individual
MATTHEW JORDAN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 N MILITARY TRL STE 355, BOCA RATON, FL 33431-6312
(561) 510-9150
(561) 600-9655
Mailing address
2600 N MILITARY TRL STE 355, BOCA RATON, FL 33431-6312
(561) 510-9150
(561) 600-9655
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME143181
FL
Other
Enumeration date
03/22/2016
Last updated
04/01/2021
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