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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAKE RHEUMATOLOGY
NPI 1295916476
Internal Medicine - Rheumatology in Tavares, FL

Active since November 16, 2007
1613 BANNING BEACH ROAD, TAVARES, FL 32778(352) 343-7735(352) 343-7740 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lake Rheumatology NPPES

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

LAKE RHEUMATOLOGY (NPI 1295916476), doing business as Kenneth E Stark Md Pa, is a healthcare organization registered as a rheumatology in Tavares, Florida and active in the NPI registry since November 2007. The organization lists Selina De Leon Bowers, Owner, as its authorized official.

NPPES Registry Identity

NPI1295916476
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameLAKE RHEUMATOLOGY
Location Address1613 BANNING BEACH ROADTavares, FL 32778
Mailing Address1613 Banning Beach RoadTavares, FL 32778 · (352) 343-7735 · Fax (352) 343-7740
Phone(352) 343-7735
Fax(352) 343-7740
Organization SubpartNo
Authorized OfficialSelina De Leon BowersOwner · (352) 343-7735
Enumeration DateNovember 16, 2007
Last NPPES UpdateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1295916476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME0045588
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1613 BANNING BEACH ROAD, Tavares, FL 32778
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Other Names 1

Former Legal Business NameKenneth E Stark Md Pa

Other Identifiers 3

Other09127FL · Bcbs Of Florida
Medicaid370164600FL
Other6515425FL · Cigna

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

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 Lake Rheumatology's NPI number?

The NPI number for Lake Rheumatology is 1295916476. It was assigned to this organization in the NPPES registry on November 16, 2007. The provider was formerly known as Kenneth E Stark MD PA.

Where is Lake Rheumatology located?

Lake Rheumatology is located at 1613 Banning Beach Road, Tavares, FL 32778. The listed phone number is (352) 343-7735.

What is Lake Rheumatology's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

What insurance does Lake Rheumatology accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Lake Rheumatology as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Rheumatology was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.