Basic Information
Provider Information
NPI: 1215131966
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARBER
FirstName: FRANK
MiddleName: JAMES
NamePrefix: MR.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2315 E MAIN ST
Address2:  
City: NEW IBERIA
State: LA
PostalCode: 705604031
CountryCode: US
TelephoneNumber: 3373640441
FaxNumber:  
Practice Location
Address1: 14050 NW 14TH ST
Address2: SUITE 190
City: SUNRISE
State: FL
PostalCode: 333232865
CountryCode: US
TelephoneNumber: 8004243672
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/14/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X1645LAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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