Provider Demographics
NPI:1932918851
Name:STAR CARE HEALTH PROVIDERS OF AMERICA PLLC
Entity type:Organization
Organization Name:STAR CARE HEALTH PROVIDERS OF AMERICA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDANA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:954-464-4560
Mailing Address - Street 1:12759 NW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-3103
Mailing Address - Country:US
Mailing Address - Phone:954-464-4560
Mailing Address - Fax:
Practice Address - Street 1:1499 W PALMETTO PARK RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-3328
Practice Address - Country:US
Practice Address - Phone:954-464-4560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty