Provider Demographics
NPI:1649773078
Name:DARDOMPRE, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:DARDOMPRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13899 BISCAYNE BLVD STE 228
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1647
Mailing Address - Country:US
Mailing Address - Phone:305-244-0971
Mailing Address - Fax:727-897-8022
Practice Address - Street 1:13899 BISCAYNE BLVD STE 228
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33181-1647
Practice Address - Country:US
Practice Address - Phone:305-244-0971
Practice Address - Fax:727-897-8022
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health