Provider Demographics
NPI:1477026557
Name:STEWARD-STARKS, EURYDICE M
Entity Type:Individual
Prefix:
First Name:EURYDICE
Middle Name:M
Last Name:STEWARD-STARKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 LASCALA DR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6024
Mailing Address - Country:US
Mailing Address - Phone:321-978-2377
Mailing Address - Fax:407-258-0533
Practice Address - Street 1:1005 LASCALA DR
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-6024
Practice Address - Country:US
Practice Address - Phone:321-978-2377
Practice Address - Fax:407-258-0533
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program