Star Medical Clinic, Inc.

LBN: Star Medical Clinic, Inc.
Star Medical Clinic, Inc. is an health care organization with primary practice located at 6112 Nw 7Th Ave , Miami FL 33127-1112. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Star Medical Clinic, Inc. can be contacted via phone (786) 360-2381, or through Whitfield, Larry via phone (443) 804-5364.

Contact Information

Primary practice address
6112 Nw 7Th Ave Miami FL 33127-1112
Phone: (786) 360-2381
Fax: (305) 456-4066
Website:
Map and Directions
Authorized official contact:
Name: Whitfield, Larry
Phone: (443) 804-5364

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X Florida

Profile Details

NPI number 1043525819
LBN Legal business name Star Medical Clinic, Inc.
DBA Doing business as
Authorized official Whitfield, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2010
Last updated Aug 17th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043525819 NPPES
Florida MEDICAID 269915000

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