Organization
BRIGHT STAR MEDICAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKESHA CARTER RN (PRESIDENT)
(362) 631-3423
Entity
Organization
Contact information
Practice address
8249 NW 36TH ST, DORAL, FL 33166-6603
(786) 953-6784
Mailing address
8249 NW 36TH ST, DORAL, FL 33166-6603
(786) 953-6784
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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