Five Star Healthcare, LLC

NPI #1720513856 in Niceville, Florida

Provider Information

NPI Number: 1720513856
Entity Type: Organization
Organization Name: Five Star Healthcare, LLC
Primary Specialty: Physician Assistant
Enumeration Date: Apr 26, 2017
Last Updated: Apr 26, 2017

Practice Location

Address: 535 WOODLOW RD
City: Niceville
State: Florida
ZIP Code: 32578-2129
Phone: (202) 427-5554

Authorized Official

Name: SUNDAY LAIRD, PA
Title: PHYSICIAN ASSISTANT
Phone: (202) 427-5557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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