| Jng Health Network Pa | |
|
1133 Sw 167th Ave Pembroke Pines FL 33027-1422 | |
| (954) 404-7052 | |
| (954) 435-5982 |
| Full Name | Jng Health Network Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1133 Sw 167th Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Jose Nadine Garcon (PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 9544047052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jng Health Network Pa 1133 Sw 167th Ave Pembroke Pines FL 33027-1422 Ph: (954) 404-7052 | Jng Health Network Pa 1133 Sw 167th Ave Pembroke Pines FL 33027-1422 Ph: (954) 404-7052 |
| NPI Number | 1932350089 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 12/15/2008 |
| Medicare PECOS PAC ID | 1153485958 |
|---|---|
| Medicare Enrollment ID | O20090122000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932350089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7571 (Florida) | Primary |
| Provider Name | Jose Nadine Garcon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609063544 PECOS PAC ID: 9032295373 Enrollment ID: I20080508000542 |
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