Organization
FIVE STAR HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNDAY LAIRD PA (PHYSICIAN ASSISTANT)
(202) 427-5557
Entity
Organization
Contact information
Practice address
535 WOODLOW RD, NICEVILLE, FL 32578-2129
(202) 427-5554
Mailing address
535 WOODLOW RD, NICEVILLE, FL 32578-2129
(202) 427-5554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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