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Organization

BRIGHT STAR MEDICAL GROUP CORP

Active
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Organization

BRIGHT STAR MEDICAL GROUP CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAKESHA CARTER RN (PRESIDENT)
(362) 631-3423
Entity
Organization

Contact information

Practice address
8249 NW 36TH ST, DORAL, FL 33166-6603
(786) 953-6784
Mailing address
8249 NW 36TH ST, DORAL, FL 33166-6603
(786) 953-6784

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—

Other

Enumeration date
10/23/2025
Last updated
10/23/2025
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