Healthcare Provider Details
I. General information
NPI: 1083608269
Provider Name (Legal Business Name): STARMED MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2005
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7392 NW 35TH TER 308
MIAMI FL
33122-1271
US
IV. Provider business mailing address
7392 NW 35 STREET 308
MIAMI FL
33122
US
V. Phone/Fax
- Phone: 305-406-3540
- Fax: 305-406-3538
- Phone: 305-406-3540
- Fax: 305-406-3538
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
FRANKLIN
PALMA
Title or Position: PRESIDENT
Credential:
Phone: 305-406-3540