Provider Demographics
NPI:1457337271
Name:STARKE, MICHELLE MCKEEVER (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MCKEEVER
Last Name:STARKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 SAN LORENZO AVE
Mailing Address - Street 2:SUITE 550
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1524
Mailing Address - Country:US
Mailing Address - Phone:305-665-8188
Mailing Address - Fax:305-668-7706
Practice Address - Street 1:135 SAN LORENZO AVE
Practice Address - Street 2:SUITE 550
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1524
Practice Address - Country:US
Practice Address - Phone:305-665-8188
Practice Address - Fax:305-668-7706
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70962207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G37628Medicare UPIN