Provider Demographics
NPI:1013501428
Name:STARKE, MONICA L (EDD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:L
Last Name:STARKE
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:L
Other - Last Name:STARKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:28550 SW 172ND AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-2029
Mailing Address - Country:US
Mailing Address - Phone:305-972-2187
Mailing Address - Fax:
Practice Address - Street 1:482 S KELLER RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-6130
Practice Address - Country:US
Practice Address - Phone:321-397-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health