Organization
STAR MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS GLIMORE OT (OWNER)
(407) 627-8010
Entity
Organization
Contact information
Practice address
7300 INTERNATIONAL DR, SUITE 102, HOLLAND, OH 43528-9411
(866) 824-0203
(866) 824-0203
Mailing address
7300 INTERNATIONAL DR, SUITE 102, HOLLAND, OH 43528-9412
(866) 824-0203
(866) 824-0203
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
12/14/2007
Last updated
02/11/2021
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