Healthcare Provider Details

I. General information

NPI: 1053230375
Provider Name (Legal Business Name): STARWELL MEDICAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7921 BIRD RD STE 39
MIAMI FL
33155-6747
US

IV. Provider business mailing address

20793 SW 129TH PL
MIAMI FL
33177-5528
US

V. Phone/Fax

Practice location:
  • Phone: 305-842-8344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SALYME SAKER
Title or Position: PRESIDENT
Credential:
Phone: 305-842-8344