Organization
STAR MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY WHITFIELD JR. (PRESDIENT (CEO))
(443) 804-5364
Entity
Organization
Contact information
Practice address
6112 NW 7TH AVE, MIAMI, FL 33127-1112
(786) 360-2381
(305) 456-4066
Mailing address
6112 NW 7TH AVE, MIAMI, FL 33127-1112
(786) 360-2381
(305) 456-4066
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269915000
—
FL
Enumeration date
08/17/2010
Last updated
08/17/2010
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