# FIVE STAR HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1720513856
- **Authorized official:** SUNDAY LAIRD PA (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (202) 427-5557

## Contact information

- **Practice address:** 535 WOODLOW RD, NICEVILLE, FL 32578-2129
- **Practice address phone:** (202) 427-5554
- **Mailing address:** 535 WOODLOW RD, NICEVILLE, FL 32578-2129
- **Mailing address phone:** (202) 427-5554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2017
- **Last updated:** 04/26/2017