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

Mark W. Lastarza, MD

Individual provider Internal Medicine Physician · NPI 1831165448

Mark W. Lastarza, MD is an Internal Medicine in Ormond Beach, Florida. Graduated from Washington University School of Medicine in 1995, 31 years ago. Practices with Ability Health Services, Inc, a 1,232-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Trained at
Washington University School of Medicine
Licensed in
FL
In the registry since
2006
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

335 Clyde Morris Blvd Ste 290
Ormond Beach, FL 32174-5959
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 ME0075627 (FL)

Record details

NPI number1831165448
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 23, 2006
Last updated in NPPESJuly 8, 2007
Mailing address335 Clyde Morris Blvd, Suite 290, Ormond Beach, FL 32174-5959

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Ability Health Services, Inc — 1232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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