| Dr Justin Myles Stark, DO | |
|
2300 Park Ave Ste 200, Orange Park, FL 32073-5574 | |
| (904) 269-2900 | |
| (904) 269-1140 |
| Full Name | Dr Justin Myles Stark |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 2300 Park Ave Ste 200, Orange Park, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093087579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS19751 (Florida) | Primary |
| 207R00000X | Internal Medicine | 075156 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | OS19751 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Golden Heart Home Health Care | Orange park, FL | Home health agency |
| Baptist Home Health Care | Jacksonville, FL | Home health agency |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Primary Care Inc | 0648177733 | 420 |
| Entity Name | Baptist Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Myles Stark, DO 2300 Park Ave Ste 200, Orange Park, FL 32073-5574 Ph: (904) 269-2900 | Dr Justin Myles Stark, DO 2300 Park Ave Ste 200, Orange Park, FL 32073-5574 Ph: (904) 269-2900 |
Larry Steven Garsha, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2858 Country Club Blvd, Orange Park, FL 32073 Phone: 904-579-4553 | |
Tonya Nichelle Hollinger, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2285 Kingsley Ave Ste E, Orange Park, FL 32073 Phone: 904-309-9660 Fax: 844-388-6186 | |
Barbara Leigh Cruikshank, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140 | |
Darby R Martin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1008 Park Ave Ste A, Orange Park, FL 32073 Phone: 904-264-9293 Fax: 904-390-7492 | |
William V Choisser, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073 Phone: 904-264-2297 Fax: 904-264-6266 | |
Allison Dasta Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065 Phone: 904-282-4565 Fax: 904-282-4225 |