MARK W. LASTARZA

ORMOND BEACH, FL
NPI1831165448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  ME0075627)
Enumeration Date2006-02-23
Last Update Date2007-07-08
Business Address
-- MARK W. LASTARZA M.D.
335 CLYDE MORRIS BLVD SUITE 290
ORMOND BEACH, FL 32174-5959
Phone number: 386-672-3219
Mailing Address
-- MARK W. LASTARZA M.D.
335 CLYDE MORRIS BLVD SUITE 290
ORMOND BEACH, FL 32174-5959
Phone number: 386-672-3219
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