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Organization
RED STAR HOLDINGS INC.
Active
Organization
RED STAR HOLDINGS INC.
Active
Other names
Internal Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RADHIKA MENON M.D. (MEDICAL DIRECTOR/PRESIDENT)
(727) 862-2580
Entity
Organization
Contact information
Practice address
13733 OFFICE PARK COURT, HUDSON, FL 34667
(727) 862-2580
(727) 862-9458
Mailing address
13733 OFFICE PARK COURT, HUDSON, FL 34667
(727) 862-2580
(727) 862-9458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78480
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256890000
—
FL
Enumeration date
12/07/2007
Last updated
02/13/2012
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