Individual
DR. T GAIL STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
11739 CHANTICLEER DR, PENSACOLA, FL 32507-4150
(850) 982-2625
Mailing address
PO BOX 34150, PENSACOLA, FL 32507-4150
(850) 982-2625
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
160
AL
213E00000X
Podiatrist
PO2420
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
160
AL
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO2420
FL
213ER0200X
Radiology Podiatrist
160
AL
213ER0200X
Radiology Podiatrist
PO2420
FL
213ES0000X
Sports Medicine Podiatrist
160
AL
213ES0000X
Sports Medicine Podiatrist
PO2420
FL
213ES0131X
Foot Surgery Podiatrist
160
AL
213ES0131X
Foot Surgery Podiatrist
PO2420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390273100
—
FL
Enumeration date
11/03/2006
Last updated
05/10/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us