Healthcare Provider Details

I. General information

NPI: 1326900945
Provider Name (Legal Business Name): MR. JAVIER LABRADOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7924 EAST DR BAY VILLAGE 302
NORTH BAY VILLAGE FL
33141
US

IV. Provider business mailing address

7924 EAST DR BAY VILLAGE
NORTH BAY VILLAGE FL
33141-3355
US

V. Phone/Fax

Practice location:
  • Phone: 786-501-1693
  • Fax:
Mailing address:
  • Phone: 786-501-1693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: