| Silver Star Family Medicine | |
|
1202 E Silver Star Rd Ocoee FL 34761-2460 | |
| (407) 656-7866 | |
| (407) 656-3032 |
| Full Name | Silver Star Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1202 E Silver Star Rd, Ocoee, Florida |
| Authorized Official Name and Position | Vilmary Vazquez (CREDENTIALING AGENT) |
| Authorized Official Contact | 4076567866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Star Family Medicine 1202 E Silver Star Rd Ocoee FL 34761-2460 Ph: (407) 656-7866 | Silver Star Family Medicine 1202 E Silver Star Rd Ocoee FL 34761-2460 Ph: (407) 656-7866 |
| NPI Number | 1831499060 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831499060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 30010964034 (Florida) | Primary |
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