MARK W. LASTARZA, M.D., PA.
NPI 1043623598
Internal Medicine in Ormond Beach, FL

Active since June 03, 2014
335 CLYDE MORRIS BLVD, SUITE 290, ORMOND BEACH, FL 32174(386) 672-3219(386) 672-3160 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark W. Lastarza, M.d., Pa. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK W. LASTARZA, M.D., PA. (NPI 1043623598) is a healthcare organization registered as an internal medicine in Ormond Beach, Florida and active in the NPI registry since June 2014. The organization lists Mark Lastarza, Director, as its authorized official.

NPPES Registry Identity

NPI1043623598
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARK W. LASTARZA, M.D., PA.
Location Address335 CLYDE MORRIS BLVD, SUITE 290Ormond Beach, FL 32174-3181
Mailing Address335 Clyde Morris Blvd, Suite 290Ormond Beach, FL 32174-3181 · (386) 672-3219 · Fax (386) 672-3160
Fax(386) 672-3160
Organization SubpartNo
Authorized OfficialMark LastarzaDirector · (386) 672-3219
Enumeration DateJune 3, 2014
Last NPPES UpdateFebruary 25, 2016
NPI 1043623598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME75627
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

335 CLYDE MORRIS BLVD, Ormond Beach, FL 32174

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Obstetrics & Gynecology)
335 CLYDE MORRIS BLVD, SUITE 240
ORMOND BEACH, FL 32174
Podiatrist (Foot & Ankle Surgery)
335 CLYDE MORRIS BLVD, SUITE 160
ORMOND BEACH, FL 32174
Radiology (Diagnostic Radiology)
335 CLYDE MORRIS BLVD, SUITE 250
ORMOND BEACH, FL 32174
Family Medicine
335 CLYDE MORRIS BLVD, SUITE 240
ORMOND BEACH, FL 32174
Podiatrist (Foot & Ankle Surgery)
335 CLYDE MORRIS BLVD, SUITE #160
ORMOND BEACH, FL 32174
Internal Medicine
335 CLYDE MORRIS BLVD, SUITE 290
ORMOND BEACH, FL 32174
Physician Assistant
335 CLYDE MORRIS BLVD, SUITE 260
ORMOND BEACH, FL 32174
Internal Medicine
335 CLYDE MORRIS BLVD, SUITE 290
ORMOND BEACH, FL 32174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark W. Lastarza, M.D., PA.'s NPI number?

The NPI number for Mark W. Lastarza, M.D., PA. is 1043623598. It was assigned to this organization in the NPPES registry on June 3, 2014.

Where is Mark W. Lastarza, M.D., PA. located?

Mark W. Lastarza, M.D., PA. is located at 335 Clyde Morris Blvd Suite 290, Ormond Beach, FL 32174. The listed phone number is (386) 672-3219.

What is Mark W. Lastarza, M.D., PA.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mark W. Lastarza, M.D., PA. was last updated on February 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.