Provider Demographics
NPI:1528503463
Name:GARCIA JARDINES, FRANK E
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:E
Last Name:GARCIA JARDINES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18040 NW 59TH AVE UNIT 103
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5185
Mailing Address - Country:US
Mailing Address - Phone:305-790-7221
Mailing Address - Fax:
Practice Address - Street 1:6160 NW 186TH ST APT 305
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-8071
Practice Address - Country:US
Practice Address - Phone:305-790-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician