Ron Stark, LMHC is a
Counselor - Mental Health based in Cocoa Beach, Florida. Ron Stark is licensed to practice in Florida (license number MH17239) and his current practice location is
3000 N Atlantic Ave Ste 102, Cocoa Beach, Florida. He can be reached at his office (for appointments etc.) via phone at
(321) 784-5367.
NPI number for Ron Stark is 1710531314 and his current mailing address is 3000 N Atlantic Ave Ste 102, Cocoa Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710531314.
Healthcare Provider's Profile
| Full Name | Ron Stark |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 3000 N Atlantic Ave Ste 102, Cocoa Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710531314
- Provider Enumeration Date: 07/31/2019
- Last Update Date: 07/31/2019
Medical Identifiers
Medical identifiers for Ron Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710531314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | PY2385 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH17239 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ron Stark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ron Stark, LMHC 3000 N Atlantic Ave Ste 102, Cocoa Beach, FL 32931-5045 Ph: (321) 784-5367 | Ron Stark, LMHC 3000 N Atlantic Ave Ste 102, Cocoa Beach, FL 32931-5045 Ph: (321) 784-5367 |
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