Provider Demographics
NPI:1588706089
Name:JAY A FRANKEL PA
Entity type:Organization
Organization Name:JAY A FRANKEL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:954-436-8326
Mailing Address - Street 1:10000 STIRLING RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33024
Mailing Address - Country:US
Mailing Address - Phone:951-436-8326
Mailing Address - Fax:954-433-0603
Practice Address - Street 1:10000 STIRLING RD
Practice Address - Street 2:SUITE 6
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33024
Practice Address - Country:US
Practice Address - Phone:951-436-8326
Practice Address - Fax:954-433-0603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty