# STARLIGHT MEDICAL SUPPLIES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962092692
- **Authorized official:** ANDRE J MINOTT (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (954) 801-2257

## Contact information

- **Practice address:** 1975 E SUNRISE BLVD STE 525, FT LAUDERDALE, FL 33304-1409
- **Practice address phone:** (954) 801-2257
- **Mailing address:** 1975 E SUNRISE BLVD STE 525, FT LAUDERDALE, FL 33304-1409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2021
- **Last updated:** 01/27/2021