Organization
MARLEY MEDICAL PROVIDER GROUP, P.A.
Active
Other names
Starlight Provider Group, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKRAM DEEPAK BAKHRU MD (PRESIDENT)
(888) 811-9064
Entity
Organization
Contact information
Practice address
2332 GALIANO ST FL 2, CORAL GABLES, FL 33134-5402
(305) 998-0713
Mailing address
2332 GALIANO ST FL 2, CORAL GABLES, FL 33134-5402
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
03/04/2022
Last updated
06/23/2025
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