Provider Demographics
NPI:1790654952
Name:STAR MEDICAL FL PLLC
Entity type:Organization
Organization Name:STAR MEDICAL FL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-321-1828
Mailing Address - Street 1:110 COLLEGE ST STE B
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2714
Mailing Address - Country:US
Mailing Address - Phone:407-644-5156
Mailing Address - Fax:407-644-5290
Practice Address - Street 1:312 N PARK AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3305
Practice Address - Country:US
Practice Address - Phone:407-644-5156
Practice Address - Fax:407-644-5290
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STAR MEDICAL FL PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty