Dr. T Gail Stark
Podiatrist Radiology Sports Medicine Foot Surgery and 6 more
11739 Chanticleer Dr
Pensacola
, Florida 32507-4150
Dr. T Gail Stark
Podiatrist Radiology Sports Medicine Foot Surgery and 6 more
11739 Chanticleer Dr
Pensacola
, Florida 32507-4150
(850) 982-2625
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Radiology
- Sports Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. T Gail Stark
- Po Box 34150
- Pensacola, FL
- Zip : 32507-4150
- Phone : (850) 982-2625
Second Address
- Dr. T Gail Stark
- 11739 Chanticleer Dr
- Pensacola, FL
- Zip : 32507-4150
- Phone : (850) 982-2625
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FAQs
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Is Dr. T Gail Stark a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 160 | AL |
| N | 222Z00000X | Podiatrist | 160 | AL |
| N | 213E00000X | Podiatrist | PO2420 | FL |
| N | 222Z00000X | Podiatrist | PO2420 | FL |
| N | 213EP1101X | Primary Podiatric Medicine | 160 | AL |
| Y | 213EP1101X | Primary Podiatric Medicine | PO2420 | FL |
| N | 111NR0200X | Radiology | 160 | AL |
| N | 213ER0200X | Radiology | 160 | AL |
| N | 111NR0200X | Radiology | PO2420 | FL |
| N | 213ER0200X | Radiology | PO2420 | FL |
| N | 2081S0010X | Sports Medicine | 160 | AL |
| N | 213ES0000X | Sports Medicine | 160 | AL |
| N | 2081S0010X | Sports Medicine | PO2420 | FL |
| N | 213ES0000X | Sports Medicine | PO2420 | FL |
| N | 213ES0131X | Foot Surgery | 160 | AL |
| N | 213ES0131X | Foot Surgery | PO2420 | FL |
National Provider Identifier
| NPI | 1750460341 |
|---|---|
| Provider Name | Dr. T Gail Stark |
| First Address | Pensacola, FL 32507-4150 |
| Second Address | Pensacola, FL 32507-4150 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2006 |
| Last Update Date | 10/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 390273100 | (05) | FL |
| U39544 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.