1. Home
  2. Directory
  3. Florida
  4. Keystone Heights
  5. General Practice
  6. NPI Profile

STARKE FAMILY MEDICAL CENTER INC
NPI 1407518541
General Practice in Keystone Heights, FL

Active since October 06, 2021CLIA 10D0887237 · Waiver
175 N LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656(352) 473-3199 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Starke Family Medical Center Inc NPPES

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

STARKE FAMILY MEDICAL CENTER INC (NPI 1407518541), doing business as Village Doctors, is a healthcare organization registered as a general practice in Keystone Heights, Florida and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Michele Denise Bazile, Director, as its authorized official.

NPPES Registry Identity

NPI1407518541
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSTARKE FAMILY MEDICAL CENTER INC
Location Address175 N LAWRENCE BLVDKeystone Heights, FL 32656-9351
Mailing Address345 W Madison StStarke, FL 32091-3923 · (904) 964-5455
Phone(352) 473-3199
Organization SubpartYesParent: Starke Family Medical Center, Inc.
Authorized OfficialMichele Denise BazileDirector · (904) 964-5455
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1407518541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
175 N LAWRENCE BLVD, Keystone Heights, FL 32656
Open in Google Maps ↗

Other Names 1

Doing Business AsVillage Doctors

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0887237

Starke Family Medical Center · Starke, FL
Active · expires Jun 7, 2028
CLIA Number10D0887237
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorGloria Niquette
Laboratory Phone(904) 964-5455
Laboratory LocationStarke Family Medical Center345 W Madison St, Starke, FL 32091
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JESSICA MARIE CUMMINGS-NIGH APRN
Nurse Practitioner (Family)
175 N LAWRENCE BLVD
KEYSTONE HEIGHTS, FL 32656
Clay County (352) 473-3199
MRS. PAMELA MICHELE RITTER WIGGS ARNP
Nurse Practitioner (Adult Health)
175 N LAWRENCE BLVD
KEYSTONE HEIGHTS, FL 32656
Clay County (352) 473-3199
CARY LYNN HOWARD ARNP
Nurse Practitioner
175 N LAWRENCE BLVD
KEYSTONE HEIGHTS, FL 32656
Clay County (352) 473-3199
ANGELICA BENNETT COOKSEY APRN
Nurse Practitioner (Family)
175 N LAWRENCE BLVD
KEYSTONE HEIGHTS, FL 32656
Clay County (352) 473-3199

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 Starke Family Medical Center Inc's NPI number?

The NPI number for Starke Family Medical Center Inc is 1407518541. It was assigned to this organization in the NPPES registry on October 6, 2021. The provider is doing business as Village Doctors.

Where is Starke Family Medical Center Inc located?

Starke Family Medical Center Inc is located at 175 N Lawrence Blvd, Keystone Heights, FL 32656. The listed phone number is (352) 473-3199.

What is Starke Family Medical Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Starke Family Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0887237) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Starke Family Medical Center Inc was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.