Individual
DR. PRESTON HENRY STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12100 LEM TURNER RD, JACKSONVILLE, FL 32218
(904) 768-8811
(904) 641-8072
Mailing address
2641 LANTANA LAKES COURT, JACKSONVILLE, FL 32246
(904) 564-4177
(904) 641-8072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FL2779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620957200
—
FL
05
—
620957201
—
FL
Enumeration date
10/27/2006
Last updated
08/04/2009
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