MEDICARE: MARGARET JOAN STARR D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS0004177	FL

General Provider Information

NPI Number	:	1710993894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET JOAN STARR D.O.

Provider Business Mailing Address
First Line	:	1430 SOUTH POWERLINE RD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069
Country	:	US
Telephone Number	:	954-970-7272
Fax Number	:	954-970-0282

Provider Business Practice Location Address
First Line	:	1430 SW 26TH AVE
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4316
Country	:	US
Telephone Number	:	954-970-7272
Fax Number	:	954-970-0282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

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