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Contact Information

STAR MEDICAL CLINIC, INC.
6112 NW 7TH AVE
MIAMI, FL33127-1112
 Phone: 786-360-2381
 Fax: 305-456-4066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for STAR MEDICAL CLINIC, INC.

NPI # 1043525819
LBN Legal business name STAR MEDICAL CLINIC, INC.
Authorized official LARRY WHITFIELD - (PRESDIENT (CEO))
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2010
Last updated 08/17/2010 - About 16 years ago
Identifiers
FL Medicaid 269915000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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