Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Rheumatology

Organization Rheumatology Physician · NPI 1295916476

Lake Rheumatology is a Rheumatology Physician in Tavares, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

1613 Banning Beach Rd
Tavares, FL 32778
Phone: (352) 343-7735
Fax: (352) 343-7740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence ME0045588 (FL)

Record details

NPI number1295916476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Selina De Leon Bowers — Owner · (352) 343-7735
Other names Kenneth E Stark Md Pa
NPI enumeratedNovember 16, 2007
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address1613 Banning Beach Road, Tavares, FL 32778

Other providers in Tavares