Provider Demographics
NPI:1548912207
Name:STARKER, TORA D
Entity type:Individual
Prefix:MRS
First Name:TORA
Middle Name:D
Last Name:STARKER
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 1:64 HEMLOCK TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-9439
Mailing Address - Country:US
Mailing Address - Phone:352-484-8640
Mailing Address - Fax:
Practice Address - Street 1:64 HEMLOCK TER
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-9439
Practice Address - Country:US
Practice Address - Phone:352-484-8640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00000000OtherN/A
FL0000001712OtherLAST FOUR OF SSN