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Star Sports Medicine Pa
Specialist in Pensacola, Florida
NPI 1922117845

Star Sports Medicine Pa is a Specialist based in Pensacola, FL. Star Sports Medicine Pa practices in Pensacola, FL. The NPI Number for Star Sports Medicine Pa is 1922117845 and holds a License No. (Florida).

The current practice location address for Star Sports Medicine Pa is 9400 University Pkwy, Pensacola, FL and can be reached out via phone at 850-479-3320 and via fax at 850-479-8789.

Location: 9400 University Pkwy, Pensacola, FL, 32503-1010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922117845
Provider Name
Star Sports Medicine Pa
Credential
Provider Entity Type
Organization
Address
9400 University Pkwy, Pensacola, FL, 32503-1010
Phone Number
850-479-3320
Fax Number
850-479-8789
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
253484300 05 FL
DG3210 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
9400 University Pkwy
City
Pensacola
State
Florida
Zip
32514-5752
Phone Number
850-479-3320
Fax Number
850-479-8789
person
Provider Business Mailing Address Details
Address
9400 University Pkwy
City
Pensacola
State
Florida
Zip
32514-5752
Phone Number
850-479-3320
Fax Number
850-479-8789
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
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.
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