Healthcare Provider Details

I. General information

NPI: 1073438321
Provider Name (Legal Business Name): STARLIGHT PATH COMMUNITY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 MAIN ST STE 750
SARASOTA FL
34236-5991
US

IV. Provider business mailing address

1900 MAIN ST STE 750
SARASOTA FL
34236-5991
US

V. Phone/Fax

Practice location:
  • Phone: 888-402-0202
  • Fax: 888-860-2960
Mailing address:
  • Phone: 888-402-0202
  • Fax: 888-860-2960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY MILLER
Title or Position: DIRECTOR OF RCM
Credential:
Phone: 248-331-7908