MARK W. LASTARZA, M.D., PA.

ORMOND BEACH, FL
NPI1043623598
Entity TypeOrganization
Authorized ContactMARK LASTARZA
Director
386-672-3219
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  ME75627)
Enumeration Date2014-06-03
Last Update Date2016-02-25
Business Address
MARK W. LASTARZA, M.D., PA.
335 CLYDE MORRIS BLVD SUITE 290
ORMOND BEACH, FL 32174-3181
Phone number: 386-672-3219
Mailing Address
MARK W. LASTARZA, M.D., PA.
335 CLYDE MORRIS BLVD SUITE 290
ORMOND BEACH, FL 32174-3181
Phone number: 386-672-3219
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