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

Vanessa Stark, PA

Individual provider Physician Assistant · NPI 1124334164

Vanessa Stark, PA is a Physician Assistant in Aventura, Florida. Qualified in 2022, 4 years ago. Practices with Anesthesia Pain Care Consultants LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2801 NE 213th St Ste 1001
Aventura, FL 33180-1265
Phone: (305) 466-9111
Fax: (305) 466-9127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116552 (FL)

Record details

NPI number1124334164
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 27, 2010
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023
Mailing address2801 Ne 213th St Ste 1001, Aventura, FL 33180-1265

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Anesthesia Pain Care Consultants Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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