Organization
NORTHSTAR MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESIA DAVIS (OWNER)
(754) 229-6806
Entity
Organization
Contact information
Practice address
7857 W SAMPLE RD STE 156, CORAL SPRINGS, FL 33065-4748
(754) 229-6806
Mailing address
7857 W SAMPLE RD STE 156, CORAL SPRINGS, FL 33065-4748
(754) 229-6806
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
06/14/2021
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