STAR SPORTS MEDICINE PA NPI 1922117845

NPI Information

STAR SPORTS MEDICINE PA is a specialist in Pensacola, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. STAR SPORTS MEDICINE PA NPI is 1922117845. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9400 UNIVERSITY PKWY
SUITE 309
PENSACOLA, FL
ZIP 32514-752
Phone: (850) 479-3320
Fax: (850) 479-8789

The provider's authorized official is Juliet Marie Decampos .
The authorized official title is Physician and has the following contact phone number (850) 479-3320.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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