Organization
GOLD STAR HEALTHCARE , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA LANE-MILO FNP (OWNER)
(843) 506-9836
Entity
Organization
Contact information
Practice address
960 PAMPLICO HWY STE L, FLORENCE, SC 29505-6244
(843) 407-4451
Mailing address
960 PAMPLICO HWY STE L, FLORENCE, SC 29505-6244
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
05/03/2024
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