Individual
DR. JODI ELLEN STAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
GUIDING LIGHT WELLNESS CENTER, 3319 STATE ROAD 7 STE 210, WELLINGTON, FL 33449
(561) 422-3314
(561) 422-3315
Mailing address
3319 STATE ROAD 7, STE 210, WELLINGTON, FL 33449
(561) 422-3314
(561) 422-3315
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME 85603
FL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME85603
FL
2084P0015X
Psychosomatic Medicine Physician
ME85603
FL
2084P0800X
Psychiatry Physician
Primary
ME 85603
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME 85603
FL
Other
Enumeration date
10/02/2006
Last updated
07/01/2021
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