Provider Demographics
NPI:1518210921
Name:FOUR STAR CORPORATE CATERING
Entity Type:Organization
Organization Name:FOUR STAR CORPORATE CATERING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOBY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-983-8221
Mailing Address - Street 1:8271 PEMBROKE RD BLDG 76
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2101
Mailing Address - Country:US
Mailing Address - Phone:954-983-8221
Mailing Address - Fax:
Practice Address - Street 1:8271 PEMBROKE RD BLDG 76
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-2101
Practice Address - Country:US
Practice Address - Phone:954-983-8221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAT1620612332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals