| Carole Flaster Lcsw Pa | |
|
5400 S University Drive Suite 207 Davie FL 33328-5309 | |
| (954) 370-3335 | |
| (954) 370-3353 |
| Full Name | Carole Flaster Lcsw Pa |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5400 S University Drive, Davie, Florida |
| Authorized Official Name and Position | Carole Flaster (OWNER) |
| Authorized Official Contact | 9543703335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carole Flaster Lcsw Pa 5400 S University Drive Suite 207 Davie FL 33328-5309 Ph: (954) 370-3335 | Carole Flaster Lcsw Pa 5400 S University Drive Suite 207 Davie FL 33328-5309 Ph: (954) 370-3335 |
| NPI Number | 1659646453 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Medicare PECOS PAC ID | 0840441606 |
|---|---|
| Medicare Enrollment ID | O20121105000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659646453 | NPI | - | NPPES |
| 000900000 | Medicaid | FL | |
| 217790 | Other | FL | AVMED |
| 029638 | Other | FL | VALULE OPTIONS |
| Z-1041 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW850 (Florida) | Secondary |
| 106H00000X | Marriage & Family Therapist | MT415 (Florida) | Primary |
| Provider Name | Carole W Flaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144252982 PECOS PAC ID: 0840214409 Enrollment ID: I20060123000177 |
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