Individual
JOSE NADINE GARCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 S PALM AVE STE 1-212, MIRAMAR, FL 33025-5091
(954) 404-7052
(954) 435-5982
Mailing address
1133 SW 167TH AVE, PEMBROKE PINES, FL 33027-1422
(305) 724-8040
(954) 435-5982
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7571
FL
103TC0700X
Clinical Psychologist
PY 7571
FL
Other
Enumeration date
09/25/2007
Last updated
12/07/2023
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