Provider Demographics
NPI:1891990636
Name:MINTZ, BARBARA A (AP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:MINTZ
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10400 GRIFFIN RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3337
Mailing Address - Country:US
Mailing Address - Phone:954-680-5500
Mailing Address - Fax:
Practice Address - Street 1:10400 GRIFFIN RD
Practice Address - Street 2:SUITE 204
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-3337
Practice Address - Country:US
Practice Address - Phone:954-680-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1780171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist