Organization
CAROLE FLASTER LCSW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE FLASTER (OWNER)
(954) 370-3335
Entity
Organization
Contact information
Practice address
5400 S UNIVERSITY DRIVE, SUITE 207, DAVIE, FL 33328-5309
(954) 370-3335
(954) 370-3353
Mailing address
5400 S UNIVERSITY DRIVE, SUITE 207, DAVIE, FL 33328-5309
(954) 370-3335
(954) 370-3353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW850
FL
106H00000X
Marriage & Family Therapist
Primary
MT415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000900000
—
FL
01
—
029638
VALULE OPTIONS
FL
01
—
217790
AVMED
FL
01
—
Z-1041
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/13/2012
Last updated
03/13/2012
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