Individual
NORTHERN STAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5265 UNIVERSITY PKWY # 101-189, UNIVERSITY PARK, FL 34201-3012
(703) 717-1753
Mailing address
5265 UNIVERSITY PKWY # 101-189, UNIVERSITY PARK, FL 34201-3012
(703) 717-1753
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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