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

Mark Stark, MD

Individual provider Gastroenterology Physician · NPI 1629067400

Mark Stark, MD is a Gastroenterology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence ME61416 (FL)

Record details

NPI number1629067400
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

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