Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kenneth E Stark MD PA

Rheumatology Physician in Tavares, FL · enumerated 2007 · authorized official Kenneth Stark, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295916476

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Registry record

Entity type Organization (Type 2)

Legal business name Kenneth E Stark MD PA

Practice address 1613 Banning Beach Rd, Tavares, FL, 32778

Phone (352) 343-7735

Fax (352) 343-7740

Enumeration date Nov 16, 2007

Last updated in NPPES Nov 16, 2007

Taxonomy & classification

207RR0500X Rheumatology Physician Allopathic & Osteopathic Physicians · License ME0045588 (FL) Primary

Authorized official

Name Kenneth Stark

Title Physician

Phone (352) 343-7735

Other identifiers

Identifier	Type	State	Issuer
09127	Other	FL	BCBS OF FLORIDA
370164600	Medicaid	FL	-
6515425	Other	FL	CIGNA

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.

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Frequently asked questions

Where is Kenneth E Stark MD PA located?

The practice location on file with NPPES is in Tavares, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-11-16. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Kenneth Stark Rheumatology Physician · Tavares, FL NPI 1558346262 Nina Blum Internal Medicine Physician · Tavares, FL NPI 1922533256

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-16.