Individual
LOUIS STARACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6231 PGA BLVD, SUITE 104-123, PALM BEACH GARDENS, FL 33418-4033
(561) 972-4645
(561) 972-4839
Mailing address
6231 PGA BLVD, SUITE 104-123, PALM BEACH GARDENS, FL 33418-4033
(561) 972-4645
(561) 972-4839
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME98453
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056369
AETNA HMO#
NY
01
—
0500258
GHI PPO #
NY
01
—
109715
WELLCARE #
NY
01
—
132670769
TAX ID#
NY
01
—
156861
HIP #
NY
01
—
200009519
RAILROAD MEDICARE #
NY
01
—
362563
MVP #
NY
01
—
4294790
AETNA PPO#
NY
01
—
5C3916
HEALTHNET #
NY
01
—
96D061
EMPIRE BCBS #
NY
01
—
RS365
OXFORD #
NY
Enumeration date
11/08/2006
Last updated
06/16/2016
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