Healthcare Provider Details

I. General information

NPI: 1588706089
Provider Name (Legal Business Name): JAY A FRANKEL PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 STIRLING RD SUITE 6
COOPER CITY FL
33024
US

IV. Provider business mailing address

10000 STIRLING RD SUITE 6
COOPER CITY FL
33024
US

V. Phone/Fax

Practice location:
  • Phone: 951-436-8326
  • Fax: 954-433-0603
Mailing address:
  • Phone: 951-436-8326
  • Fax: 954-433-0603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAY A FRANKEL
Title or Position: PRESIDENT
Credential: PHD
Phone: 954-436-8326