| 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 |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS19751 (Florida) | Primary |
| 208M00000X | Hospitalist | OS19751 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Baptist Medical Center - Beaches | Jacksonville beach, FL | Hospital |
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Brooks Rehabilitation Hospital University Campus | Jacksonville, FL | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 303 |
| Baptist Primary Care Inc | 0648177733 | 459 |
| 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 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| 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 |
Mark Anthony Stawara, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073 Phone: 904-272-0384 Fax: 904-272-6748 |
Eugene H Mccoskey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave Ste 404, Orange Park, FL 32073 Phone: 904-441-1111 Fax: 904-441-1111 |
Dr. Nadeem Maalouli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-213-0600 Fax: 904-213-0303 |
Chaudhry Saad Sohail, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 Burwick Ave, Apt # 2603, Orange Park, FL 32073 Phone: 347-248-8134 Fax: 847-679-1126 |
Louis Giovanni Ramirez Lopez, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-2000 Fax: 904-639-2015 |
Omer Ismaeel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave Ste 1, Orange Park, FL 32073 Phone: 904-368-6809 |
Shradha Pokharel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2021 Kingsley Ave, Suite 101, Orange Park, FL 32073 Phone: 904-298-2113 Fax: 904-298-1922 |