Provider Demographics
NPI:1659046357
Name:STERK FAMILY MEDICINE LLC
Entity Type:Organization
Organization Name:STERK FAMILY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:STERK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-264-7922
Mailing Address - Street 1:4207 W WATROUS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-4914
Mailing Address - Country:US
Mailing Address - Phone:727-214-7023
Mailing Address - Fax:
Practice Address - Street 1:3910 NORTHDALE BLVD STE 206
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-1800
Practice Address - Country:US
Practice Address - Phone:813-264-7922
Practice Address - Fax:813-264-6585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty