Organization · NPI-2
5 Star Healthcare Consultants, INC.
Nurse Practitioner, Family · Orlando, FL
NPI number1811519994
StatusActive
Last updated in NPPESJul 20, 2023
Details
- NPI
- 1811519994
- Entity type
- Organization (NPI-2)
- Legal business name
- 5 Star Healthcare Consultants, INC.
- Organization subpart
- No
- Enumeration date
- May 12, 2020
- Certification date
- Jul 20, 2023
- Last updated
- Jul 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Other names
- 5 Star Healthcare Consultants, INC. (Doing Business As)
Practice location
5401 S Kirkman RdOrlando, FL 32819-7940
Phone 800-721-8839
Mailing address
3632 Arch StOrlando, FL 32808-7408
Phone 407-766-8865
Authorized official
Tequila Golden
Family Nurse Practictioner
4077668865
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