Organization
STAR HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVANA KATARYNA HELMINSKI COF,PTA,CPED,BOCO (MANAGER)
(860) 887-5633
Entity
Organization
Contact information
Practice address
1505 TAMIAMI TRL S STE 401B, VENICE, FL 34285-5562
(860) 887-5633
(860) 887-5699
Mailing address
1505 TAMIAMI TRL S STE 401B, VENICE, FL 34285-5562
(860) 887-5633
(860) 887-5699
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224L00000X
Pedorthist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
C10664
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004247989
—
CT
01
—
82-00812
UNITED HEALTHCARE
—
Enumeration date
06/15/2006
Last updated
10/23/2023
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