Provider Demographics
NPI:1881661684
Name:ISRAEL, FRONA P (LCSW, DCFC, SAP)
Entity type:Individual
Prefix:MS
First Name:FRONA
Middle Name:P
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:LCSW, DCFC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3016 NE 210TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3661
Mailing Address - Country:US
Mailing Address - Phone:305-494-3555
Mailing Address - Fax:954-962-5495
Practice Address - Street 1:2225 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3611
Practice Address - Country:US
Practice Address - Phone:954-962-6200
Practice Address - Fax:954-962-5495
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW57671041C0700X
FLSAP80608103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE3800BOtherMEDICARE PTAN