| Knight Star Inc | |
|
16782 Nw 67th Ave Hialeah FL 33015-4202 | |
| (305) 817-4392 | |
| (305) 817-4392 |
| Full Name | Knight Star Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16782 Nw 67th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Yailen Bengochea (PRESIDENT) |
| Authorized Official Contact | 3058174392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knight Star Inc 16782 Nw 67th Ave Hialeah FL 33015-4202 Ph: (305) 817-4392 | Knight Star Inc 16782 Nw 67th Ave Hialeah FL 33015-4202 Ph: (305) 817-4392 |
| NPI Number | 1700899333 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700899333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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