| Orlando Health Star Clinic Llc | |
|
1224 Sligh Blvd Ste A Orlando FL 32806-1108 | |
| (321) 841-3581 | |
| (321) 841-4085 |
| Full Name | Orlando Health Star Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1224 Sligh Blvd Ste A, Orlando, Florida |
| Authorized Official Name and Position | Michele Napier (VP, REVENUE MANAGEMENT & CRO) |
| Authorized Official Contact | 3218413492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Health Star Clinic Llc 1335 Sligh Blvd Orlando FL 32806 Ph: (321) 842-8023 | Orlando Health Star Clinic Llc 1224 Sligh Blvd Ste A Orlando FL 32806-1108 Ph: (321) 841-3581 |
| NPI Number | 1245919299 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 9234586090 |
|---|---|
| Medicare Enrollment ID | O20231115003895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245919299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rashmee Pokharel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053786640 PECOS PAC ID: 2961704986 Enrollment ID: I20160107003152 |
| Provider Name | Omar Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053653865 PECOS PAC ID: 3870733264 Enrollment ID: I20160602001861 |
| Provider Name | Ashley Dlugokienski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588907364 PECOS PAC ID: 3274773478 Enrollment ID: I20160715000058 |
| Provider Name | Maria Lourdes P Madarang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184174559 PECOS PAC ID: 4688958341 Enrollment ID: I20170225000298 |
| Provider Name | Melinda L. Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124688502 PECOS PAC ID: 8224365671 Enrollment ID: I20190808001502 |
| Provider Name | Amy R Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386114387 PECOS PAC ID: 4183057151 Enrollment ID: I20191204002920 |
| Provider Name | Stephanie E Dietz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679936926 PECOS PAC ID: 4789970278 Enrollment ID: I20200608002178 |
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