SHINING STARS PEDIATRIC EXTENDED CARE, LLC is a medically fragile infants and children day care clinic center in Ft Lauderdale, FL. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). SHINING STARS PEDIATRIC EXTENDED CARE, LLC NPI is 1326647363. The provider is registered as an organization entity type.
The provider's business location address is:
5201 RAVENSWOOD RD STE 110
FT LAUDERDALE, FL
ZIP 33312-004
Phone: (786) 496-0287
The provider's authorized official is Natalie Martinez .
The authorized official title is Title Manager and has the following contact phone number (305) 458-8688.
The CLIA number assigned to this NPI record is 10D2237441 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/21/2020 and was last updated on 10/21/2020.