Florida Dancer's Gallery

Primary specialty

Dance TherapistTaxonomy code 225600000X

Legal business name

FLORIDA DANCER'S GALLERY

Practice address

12323 SW 55TH St Ste 1010
Cooper City, FL 33330-3312

Phone

(954) 437-9910

NPI assigned

Apr 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christie Stark

Title

Director

Phone

(954) 882-8762

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1699271700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12323 SW 55TH ST STE 1010",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303312",
            "telephone_number": "954-437-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12323 SW 55TH ST STE 1010",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303312",
            "telephone_number": "954-437-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DANCER'S GALLERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-882-8762"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dance Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dance Therapist in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Dance Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.