Healthcare Provider Details

I. General information

NPI: 1881661684
Provider Name (Legal Business Name): FRONA P ISRAEL LCSW, DCFC, SAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 N UNIVERSITY DR
PEMBROKE PINES FL
33024-3611
US

IV. Provider business mailing address

3016 NE 210TH ST
MIAMI FL
33180-3661
US

V. Phone/Fax

Practice location:
  • Phone: 954-962-6200
  • Fax: 954-962-5495
Mailing address:
  • Phone: 305-494-3555
  • Fax: 954-962-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberSAP80608
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW5767
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: