Mark W. Lastarza, M.D., PA.
Mark W. Lastarza, M.D., PA. is a healthcare organization registered as Internal Medicine Physician in Ormond Beach, FL, holding Type 2 (organization) NPI 1043623598 since 2014. The authorized official on file is Mark Lastarza, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043623598 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark W. Lastarza, M.D., PA. |
| Practice address | 335 CLYDE MORRIS BLVD, SUITE 290, Ormond Beach, FL, 32174 |
| Phone | 3866723219 |
| Fax | 3866723160 |
| Enumeration date | 2014-06-03 |
| Last updated in NPPES | 2016-02-25 |
Authorized official
| Name | Mark Lastarza |
|---|---|
| Title | Director |
| Phone | 3866723219 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | ME75627 | FL |
Copy-ready billing details
Provider: Mark W. Lastarza, M.D., PA. NPI: 1043623598 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 335 CLYDE MORRIS BLVD, SUITE 290, Ormond Beach, FL, 32174
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114997616 | Lisa Gonsalves | Individual | Family Medicine Physician | Ormond Beach, FL |
| 1831165448 | Mark Lastarza | Individual | Internal Medicine Physician | Ormond Beach, FL |
| 1427024504 | Michael Townsend | Individual | Internal Medicine Physician | Ormond Beach, FL |
| 1104876358 | Florida Hospital Imaging LLC | Organization | Diagnostic Radiology Physician | Ormond Beach, FL |
| 1265460273 | Donna Brown | Individual | Foot & Ankle Surgery Podiatrist | Ormond Beach, FL |
| 1720001852 | Julie Schneider | Individual | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | Ormond Beach, FL |
| 1699950493 | Coastal Internal Medicine Specialists LLC | Organization | Internal Medicine Physician | Ormond Beach, FL |
| 1053638411 | Christy Freed | Individual | Obstetrics & Gynecology Nurse Practitioner | Ormond Beach, FL |
Verify this record
Cross-check NPI 1043623598 against the authoritative CMS record: view Mark W. Lastarza, M.D., PA. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Mark W. Lastarza, M.D., PA.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-02-25.