Organization
MINDY STAUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY STAUM MSW (SOCIAL WORKER)
(954) 464-1393
Entity
Organization
Contact information
Practice address
5365 NW 102ND AVE, CORAL SPRINGS, FL 33076-1788
(954) 464-1393
Mailing address
5365 NW 102ND AVE, CORAL SPRINGS, FL 33076-1788
(954) 464-1393
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
ISW4315
FL
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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