# NOVASTAR MED CORP

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

## Provider details

- **NPI number:** 1497363964
- **Authorized official:** DANIEL A. ESPINOZA (OWNER)
- **Authorized official phone:** (754) 704-0028

## Contact information

- **Practice address:** 10211 W SAMPLE RD STE 210, CORAL SPRINGS, FL 33065-3991
- **Practice address phone:** (754) 704-4466
- **Mailing address:** 10211 W SAMPLE RD STE 210, CORAL SPRINGS, FL 33065-3991
- **Mailing address phone:** (754) 704-4466

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2020
- **Last updated:** 09/28/2020