| Stars Of Wellness | |
|
10179 Milky Way Cir Sarasota FL 34241-1503 | |
| (586) 262-4153 | |
| Not Available |
| Full Name | Stars Of Wellness |
|---|---|
| Speciality | Psychologist |
| Location | 10179 Milky Way Cir, Sarasota, Florida |
| Authorized Official Name and Position | Laurie Burda Mastrogianis (DIRECTOR) |
| Authorized Official Contact | 5862624153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stars Of Wellness 10179 Milky Way Cir Sarasota FL 34241-1503 Ph: (586) 262-4153 | Stars Of Wellness 10179 Milky Way Cir Sarasota FL 34241-1503 Ph: (586) 262-4153 |
| NPI Number | 1710279617 |
|---|---|
| Provider Enumeration Date | 05/10/2011 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710279617 | NPI | - | NPPES |
| 0E03190 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301013176 (Michigan) | Primary |
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