# INTERSTELLAR HEALTH LLC

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

## Provider details

- **NPI number:** 1881333094
- **Authorized official:** WILLINE LOUIS APRN (OWNER)
- **Authorized official phone:** (954) 604-2227

## Contact information

- **Practice address:** 980 N FEDERAL HWY STE 110, BOCA RATON, FL 33432-2704
- **Practice address phone:** (561) 247-1734
- **Mailing address:** 9374 AEGEAN DR, BOCA RATON, FL 33496-6681
- **Mailing address phone:** (561) 206-2707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2022
- **Last updated:** 07/20/2022