# DIAMOND STAR MEDICAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295035913
- **Authorized official:** MS. BRENDA GAIL DAVIS (MANAGER)
- **Authorized official phone:** (904) 755-2367

## Contact information

- **Practice address:** 1300 HAWKS CREST DR, MIDDLEBURG, FL 32068-8407
- **Practice address phone:** (904) 755-2367
- **Mailing address:** PO BOX 331, MIDDLEBURG, FL 32050-0331
- **Mailing address phone:** (904) 755-2367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2010
- **Last updated:** 10/27/2010