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1558346262
KENNETH E STARK
TAVARES, FL
NPI
1558346262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: FL 045588)
Enumeration Date
2005-12-14
Last Update Date
2012-10-09
Business Address
-- KENNETH E STARK M.D.
1613 BANNING BEACH RD
TAVARES, FL 32778-2024
Phone number: 352-343-7735
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Mailing Address
-- KENNETH E STARK M.D.
1613 BANNING BEACH RD
TAVARES, FL 32778-2024
Phone number: 352-343-7735
Copy
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