Organization
FLORIDA DANCER'S GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE STARK (DIRECTOR)
(954) 882-8762
Entity
Organization
Contact information
Practice address
12323 SW 55TH ST STE 1010, COOPER CITY, FL 33330-3312
(954) 437-9910
Mailing address
12323 SW 55TH ST STE 1010, COOPER CITY, FL 33330-3312
(954) 437-9910
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
—
FL
Other
Enumeration date
04/05/2018
Last updated
08/17/2018
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