# BRIGHT STAR MEDICAL GROUP CORP

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

## Provider details

- **NPI number:** 1871460709
- **Authorized official:** MS. LAKESHA CARTER RN (PRESIDENT)
- **Authorized official phone:** (362) 631-3423

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2025
- **Last updated:** 10/23/2025