OrganizationActive
Mark W. Lastarza, M.D., PA.
NPI 1043623598 · Internal Medicine Physician · Ormond Beach, FL
Provider details
- NPI number
- 1043623598
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Lastarza, Director(386) 672-3219
- License
- ME75627 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
335 Clyde Morris Blvd
Suite 290
Ormond Beach, FL 32174-3181
Phone: (386) 672-3219
Fax: (386) 672-3160
Street-level locationGet directions
Mailing address
335 Clyde Morris Blvd
Ormond Beach, FL 32174-3181
Registry dates
- Enumerated
- 2014-06-03
- Last updated
- 2016-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.