MR. JAN CARY


Address: 848 Macon Dr, Titusville, FL 32780-4905
Phone: 3218482012

MR. JAN CARY (NPI# 1720553373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720553373
Entity Type Individual
Full Name MR. JAN CARY
Practice Address 848 Macon Dr
Titusville
FL 32780-4905
Practice Telephone 3218482012
Practice Fax Number 3212680225
Mailing Telephone 3218482012
Mailing Fax Number 3212680225
Enumeration Date 2018-10-10
Last Update Date 2018-10-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers

Office Location

Street Address 848 MACON DR
City TITUSVILLE
State FL
Zip Code 32780-4905

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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

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Competitor

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City TITUSVILLE
Zip Code 32780

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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