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Organization

MARSHA MINKIN PSY D P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARSHA MINKIN PSY D P A (CLINICAL PSYCHOLOGIST)
(954) 983-7457
Entity
Organization

Contact information

Practice address
5700 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6350
(954) 983-7457
(954) 983-2963
Mailing address
5700 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6350
(954) 983-7457
(954) 983-2963

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
5829
FL
305R00000X
Preferred Provider Organization
5829
FL
305S00000X
Point of Service
Primary
5829
FL

Other

Enumeration date
08/05/2008
Last updated
05/21/2010
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