Provider Demographics
NPI:1326133075
Name:MUSCARELLA, FRANCIS W JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:W
Last Name:MUSCARELLA
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4308 ALTON RD STE 910
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2840
Mailing Address - Country:US
Mailing Address - Phone:305-534-3636
Mailing Address - Fax:305-534-1421
Practice Address - Street 1:4308 ALTON RD STE 910
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2840
Practice Address - Country:US
Practice Address - Phone:305-534-3636
Practice Address - Fax:305-534-1421
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5261103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59791Medicare ID - Type Unspecified