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

Dr. Justin Myles Stark, DO

Individual provider Family Medicine Physician · NPI 1093087579

Dr. Justin Myles Stark, DO is an Internal Medicine in Orange Park, Florida. Graduated from West Virginia School of Osteopathic Medicine in 2012, 14 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
14
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
FL, GA
In the registry since
2012
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2300 Park Ave Ste 200
Orange Park, FL 32073-5574
Phone: (904) 269-2900
Fax: (904) 269-1140
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS19751 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 075156 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS19751 (FL)

Record details

NPI number1093087579
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 31, 2012
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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