MEDICARE: JUDI P FRANKEL L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW3410	FL

General Provider Information

NPI Number	:	1306874391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDI P FRANKEL L.C.S.W.

Provider Business Mailing Address
First Line	:	501 GOLDEN ISLES DRIVE
Second Line	:	SUITE 203
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 GOLDEN ISLES DR
Second Line	:	SUITE 203
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4729
Country	:	US
Telephone Number	:	305-608-9673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	10/18/2007

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