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General NPI Number Information
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NPI Number | 1346162351
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Entity Type | Organization
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Legal Business Name | STAR MEDICAL FL PLLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 6290 SW HIGHWAY 200
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City | OCALA
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State | FL
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Zip | 34476-5556
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Country | US
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Telephone | 352-237-6200
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Fax | 352-237-9284
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Provider Business Mailing Address
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Address Line | 110 COLLEGE ST STE E
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City | ATHENS
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State | AL
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Zip | 35611-2714
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Country | US
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Telephone | 256-795-2559
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Fax | 256-795-3182
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Authorized Official
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Title or Position | RCM MANAGER
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Name | KELLEY KOTT
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Credential |
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Telephone | 256-795-2559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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