Provider Demographics
NPI:1093954414
Name:JARRIN, ARMANDO G (NCTMB)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:G
Last Name:JARRIN
Suffix:
Gender:M
Credentials:NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 650852
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32965-0852
Mailing Address - Country:US
Mailing Address - Phone:772-567-2230
Mailing Address - Fax:772-567-2790
Practice Address - Street 1:973 37TH PL
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6541
Practice Address - Country:US
Practice Address - Phone:772-567-2230
Practice Address - Fax:772-567-2790
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA27654174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist