Individual
DR. HENRY KAY STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
701 PARK AVE, LAKE PARK, FL 33403-2503
(561) 284-6886
(561) 627-2199
Mailing address
701 PARK AVE, LAKE PARK, FL 33403-2503
(561) 284-6886
(561) 627-2199
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029743700
—
FL
Enumeration date
04/04/2006
Last updated
10/14/2020
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