NPI 1063302479

Star Distribution USA Corp

Organisation Preferred Provider Organization Hialeah, FL

Practice location

Address: 555 E 15th St, Hialeah, FL 33010-3227
Phone: (561) 466-5478

Authorised official

Name: David Ballestas
Title: Onwer
Phone: (321) 663-5478

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Florida →

Registry record

NPI: 1063302479
Entity type: Organization
NPI issued: 7 Jul 2025
Record last updated: 29 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.