Organization
STARSHINE MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN DE JESUS MARTINEZ (PRESIDENT)
(786) 817-5439
Entity
Organization
Contact information
Practice address
8181 NW 36TH ST, SUITE 8C, DORAL, FL 33166-6671
(786) 817-5439
Mailing address
8181 NW 36TH ST, SUITE 8C, DORAL, FL 33166-6671
(786) 817-5439
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA45836
FL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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