Organization
SHINING STARS PEDIATRIC EXTENDED CARE, LLC
Active
Organization
SHINING STARS PEDIATRIC EXTENDED CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIE MARTINEZ (TITLE MANAGER)
(305) 458-8688
Entity
Organization
Contact information
Practice address
5201 RAVENSWOOD RD STE 110, FT LAUDERDALE, FL 33312-6004
(786) 496-0287
Mailing address
6840 SW 14TH ST, MIAMI, FL 33144-5531
(305) 458-8688
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
11/08/2022
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