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

Mark W. Lastarza, MD, PA

Organization Internal Medicine Physician · NPI 1043623598

Mark W. Lastarza, MD, PA is an Internal Medicine Physician in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

335 Clyde Morris Blvd Ste 290
Ormond Beach, FL 32174-3181
Phone: (386) 672-3219
Fax: (386) 672-3160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME75627 (FL)

Record details

NPI number1043623598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Lastarza — Director · (386) 672-3219
NPI enumeratedJune 3, 2014
Last updated in NPPESFebruary 25, 2016
Mailing address335 Clyde Morris Blvd, Suite 290, Ormond Beach, FL 32174-3181

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