LAKE RHEUMATOLOGY

TAVARES, FL
NPI1295916476
Former Legal Business NameKENNETH E STARK MD PA
Entity TypeOrganization
Authorized ContactSELINA DE LEON BOWERS
Owner
352-343-7735
Organization Subpart ?No
Primary Taxonomy207RR0500X Internal Medicine, Rheumatology
(Licence: FL  ME0045588)
Enumeration Date2007-11-16
Last Update Date2026-08-07
Business Address
LAKE RHEUMATOLOGY
1613 BANNING BEACH ROAD
TAVARES, FL 32778
Phone number: 352-343-7735
Mailing Address
LAKE RHEUMATOLOGY
1613 BANNING BEACH ROAD
TAVARES, FL 32778
Phone number: 352-343-7735