MEDICARE: JEAN EDITH FRANK MASTER

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	101YM0800X	Mental Health Counselor	MH10305	FL

General Provider Information

NPI Number	:	1750904793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN EDITH FRANK MASTER

Provider Business Mailing Address
First Line	:	2840 S OCEAN BLVD APT 207
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-5547
Country	:	US
Telephone Number	:	305-898-5030
Fax Number	:

Provider Business Practice Location Address
First Line	:	2840 S OCEAN BLVD APT 207
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-5547
Country	:	US
Telephone Number	:	305-898-5030
Fax Number	:

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

Provider Enumeration Date	:	05/26/2020
Last Update Date	:	05/26/2020

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Directions to “ JEAN EDITH FRANK MASTER” Practice Location

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