Individual
STEPHEN H STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038
Mailing address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME30869
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME30869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056651900
—
FL
01
—
10721764
CAQH
FL
01
—
2569084
CIGNA
FL
01
—
269859500
MEDICAID GROUP
FL
01
—
30064
BCBS
FL
01
—
77940
MEDICARE GROUP ID
FL
01
—
77940
BCBS GRP
—
01
—
CF1416
MEDICARE RR GROUP
FL
01
—
ME30869
STATE LICENSE NUMBER
FL
01
—
P00144401
MEDICARE RR
FL
Enumeration date
12/01/2005
Last updated
10/09/2009
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