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Organization

DORAN R STARK MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DORAN R STARK M.D., PA (PROVIDER)
(863) 647-2200
Entity
Organization

Contact information

Practice address
4429 FLORIDA NATIONAL DR, LAKELAND, FL 33813-1516
(863) 647-2200
(863) 801-2980
Mailing address
4429 FLORIDA NATIONAL DR, LAKELAND, FL 33813-1516
(863) 647-2200
(863) 801-2980

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME50899
FL

Other

Enumeration date
05/14/2009
Last updated
05/14/2009
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