| Starfish Family Practice | |
|
13066 Shriners Blvd Suite A And B Biloxi MS 39532-8616 | |
| (228) 396-5022 | |
| (228) 396-5028 |
| Full Name | Starfish Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13066 Shriners Blvd, Biloxi, Mississippi |
| Authorized Official Name and Position | Karen Yaltah Mullen (OWNER) |
| Authorized Official Contact | 2283965022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starfish Family Practice 13066 Shriners Blvd Suite A And B Biloxi MS 39532-8616 Ph: (228) 396-5022 | Starfish Family Practice 13066 Shriners Blvd Suite A And B Biloxi MS 39532-8616 Ph: (228) 396-5022 |
| NPI Number | 1154733673 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 06/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154733673 | NPI | - | NPPES |
| 06103001 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 14226 (Mississippi) | Primary |
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