PETR STAROSTIK (NPI# 1720069594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720069594 |
| Entity Type | Individual |
| Full Name | PETR STAROSTIK |
| Credential | MD |
| Practice Address |
1600 Sw Archer Rd Box 100275 Gainesville FL 32610-0001 |
| Mailing Address |
1600 Sw Archer Rd Box 100275 Gainesville FL 32610-0275 |
| Practice Telephone | 3522737842 |
| Practice Fax Number | 3522738172 |
| Mailing Telephone | 3522737842 |
| Mailing Fax Number | 3522738172 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2017-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
ME121219 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
225348 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 013022800 | 05 | |
| NY | 02313702 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Elm and Carlton St, Buffalo, NY 142630001 | 7168452300 | 7168457638 |
| Street Address |
1600 SW ARCHER RD BOX 100275 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750657383 | Robert Patrick Seifert | Pathology | 1600 Sw Archer Rd Box 100275, Gainesville, FL 32610-4742 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073610598 | Tisha Christine Netzel | Pathology | 1600 Sw Archer Rd, Box 100371, Gainesville, FL 32610-0371 | 2006-09-19 |
| 1063426435 | Ralph R Grams | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-28 |
| 1124049754 | William E Winter | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-21 |
| 1336176023 | Juan C Scornik | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508481904 | Medlab Associates, LLC | Pathology | 6120 Hanging Moss Rd, Orlando, FL 32807-3701 | 2020-06-11 |
| 1194368795 | Andreas Nji Mbah | Pathology | 3404 Periwinkle Ct Apt 107, Palm Beach Gardens, FL 33410-2741 | 2019-10-26 |
| 1093194219 | Alexandra Jimenez | Pathology | 60 Compass Is, Fort Lauderdale, FL 33308-2008 | 2015-05-20 |
| 1518254150 | Pardis Vafaii | Pathology | 4500 San Pablo Rd, Jacksonville, FL 32224-0001 | 2011-07-04 |
| 1619134814 | Ioan Corneliu Cucoranu | Pathology | 3320 Sw 33rd Rd Ste 100, Ocala, FL 34474-7427 | 2008-05-16 |
| 1952597619 | Larry J Bischof | Pathology | 3001 W. Dr. Martin Luther King Jr, Blvd, St. Joseph's Hospital, Department of Pathology, Tampa, FL 33607 | 2007-09-17 |
| 1376756627 | Dean Alvin Madar | Pathology | 2278 Queens Way, Naples, FL 34112-5424 | 2007-05-07 |
| 1003036237 | Florida Medical Clinic, LLC | Pathology | 17401 Commerce Park Blvd Ste 108, Tampa, FL 33647-3507 | 2007-04-30 |
| 1215023247 | Allan Robert Fox | Pathology | 8895 Se Retreat Drive, Hobe Sound, FL 33455-8905 | 2006-10-05 |
| 1558460659 | Diagnostic Cytopathology Lab | Pathology | 2307 S Douglas Rd Ste 203, Miami, FL 33145-3057 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
Please comment or provide details below to improve the information on PETR STAROSTIK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.