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Coleman Stark
NPI 1659295772 · on the registry since 2026 · sole proprietor
Practice
- Address
- 794 Blanding Blvd
Orange Park, FL 32065 - Phone
- (904) 203-1888
- Fax
- (904) 203-1888
- Organisation at this address
- Cora Health Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida