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Organization

FIVE STAR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KAMAL NASSER (OWNER)
(727) 789-2653
Entity
Organization

Contact information

Practice address
3297 ROXMERE DR, PALM HARBOR, FL 34685-1735
(727) 278-9265
Mailing address
3297 ROXMERE DR, PALM HARBOR, FL 34685-1735
(727) 278-9265

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/24/2010
Last updated
11/24/2010
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