1467642512 NPI number — HERBERT GINART PSY D P A

Table of content: (NPI 1467642512)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467642512 NPI number — HERBERT GINART PSY D P A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HERBERT GINART PSY D P A
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467642512
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 441051
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33144-1051
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-201-8022
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8020 SW 24TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33155-1225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-201-8022
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GINART
Authorized Official First Name:
HERBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
786-201-8022

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PY7503 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PY7503 . This is a "STATE OF FLORIDA PSYCHOLO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com