Male or Other

Matthew J. Stark M.D.

Psychiatry Physician in Boca Raton, FL(View on Map)

Full Name

Matthew Jordan Stark M.D.

NPI Number

1194187963

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/22/2016

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME143181

Contact
Information

Purpose

Mailing
Location

Address

2600 N MILITARY TRL STE 355
2600 N MILITARY TRL STE 355

City

Boca Raton
Boca Raton

State

FL
FL

Postal Code

33431-6312
33431-6312

Country

US
US

Telephone Number

(561) 510-9150
(561) 510-9150

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/01/2021

Provider Address

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