Organization
STAR DISTRIBUTION USA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BALLESTAS DO (ONWER)
(321) 663-5478
Entity
Organization
Contact information
Practice address
555 E 15TH ST, HIALEAH, FL 33010-3227
(561) 466-5478
Mailing address
555 E 15TH ST, HIALEAH, FL 33010-3227
(561) 466-5478
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/29/2025
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