MEDICARE: MARCIA STARKMAN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center	CNS9301357	FL

General Provider Information

NPI Number	:	1255784666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARCIA STARKMAN LLC

Provider Business Mailing Address
First Line	:	600 THREE ISLANDS BLVD.
Second Line	:	SUITE 1413
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2850
Country	:	US
Telephone Number	:	305-979-8550
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 THREE ISLANDS BLVD
Second Line	:	SUITE 1413
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2888
Country	:	US
Telephone Number	:	305-979-8550
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIC CLINICAL NURSE SPECIALI
Name	:	MS. MARCIA SUSAN STARKMAN
Credential	:	RN MSN, PMHCNS-BC
Telephone Number	:	305-979-8550

Provider Enumeration Date	:	07/20/2016
Last Update Date	:	07/20/2016

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