| NPI | 1053475988 |
|---|---|
| Doing Business As | STA MEDICAL |
| Entity Type | Organization |
| Authorized Contact | CLEMENTE VASALLO President 954-917-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL ph16060) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |