Organization
STAR SOCIETY OUTPATIENT
Active
Organization
STAR SOCIETY OUTPATIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODALYS ALEMAN (PRESIDENT)
(786) 534-9026
Entity
Organization
Contact information
Practice address
5881 NW 151ST ST STE 205A, MIAMI LAKES, FL 33014-2456
(786) 534-9026
(786) 534-9027
Mailing address
5881 NW 151ST ST STE 205A, MIAMI LAKES, FL 33014-2456
(786) 534-9026
(786) 534-9027
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
07/09/2020
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