Healthcare Provider Details
I. General information
NPI: 1447950001
Provider Name (Legal Business Name): STARMED URGENT & FAMILY CARE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/03/2023
Last Update Date: 03/03/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4355B GUM BRANCH RD
JACKSONVILLE NC
28540-9178
US
IV. Provider business mailing address
4024 TRIANGLE DR
CHARLOTTE NC
28208-2828
US
V. Phone/Fax
- Phone: 443-909-6034
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARIN
PIRAMZADIAN
Title or Position: CHIEF MEDICAL OFFICER
Credential: DO
Phone: 718-514-1996