MINDY STAUM
Managed Care Organizations at 102 Ave, Pompano Beach, FL

License number
Florida ISW4315
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MINDY STAUM MSW
Title: SOCIAL WORKER
Phone: (954) 464-1393
Address
Address
5365 NW 102Nd Ave, Pompano Beach, FL 33076
National Provider ID: 1639405533
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MINDY STAUM at bizstanding.com

MINDY STAUM, LCSW PA

Pompano Beach, FL

Registration:
Jul 9, 2010
Addresses:
5421 N University Dr 102, Pompano Beach, FL 33067 (Physical)
5421 N University Dr, Pompano Beach, FL 33067
State ID:
P10000057131
Business type:
Florida Profit Corporation
President:
Mindy Staum (President), 5421 N University Dr SUITE 102, Pompano Beach, FL 33067 (Physical)
Agent:
Staum, Mindy,5365 NW 102 Ave, Pompano Beach, FL 33076 (Physical)
EIN:
27-3037090

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