MR. CARLOS ALBERTO JAZAN (NPI# 1396033874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396033874 |
| Entity Type | Individual |
| Full Name | MR. CARLOS ALBERTO JAZAN |
| Credential | LMHC |
| Practice Address |
4038 Sandy Bluff Dr W Gulf Breeze FL 32563-2938 |
| Mailing Address |
Po Box 838 Gulf Breeze FL 32562-0838 |
| Practice Telephone | 8506653599 |
| Practice Fax Number | 8506653599 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2013-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH3744 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4038 SANDY BLUFF DR W |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32563-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180475 | Sacred Heart Health System, Inc. | Orthopaedic Surgery | 4033 Gulf Breeze Pkwy, Ste D, Gulf Breeze, FL 32563 | 2017-08-22 |
| 1881121457 | Jay Arnold | Dentist | 1480 Tiger Park Ln, Gulf Breeze, FL 32563 | 2017-05-15 |
| 1457506826 | Horace Lindsay Simpson | Surgery | 4435 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2008-11-26 |
| 1972795508 | Barbara Mary Ebel | Anesthesiology | 4435 Gulf Breeze Parkway, Good Samaritan Clinic, Gulf Breeze, FL 32563 | 2007-08-17 |
| 1275670374 | Karen Cann | Physical Therapist | 4657 Gulf Breeze Pkwy., Suites A & B, Gulf Breeze, FL 32563 | 2007-01-30 |
| 1356423719 | Cynthia Urmos | Chiropractor | 2870 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | 2006-10-19 |
| 1538260690 | Donna Theresa Englehart | Counselor | 3463 Sycamore Lane, Gulf Breeze, FL 32563 | 2006-09-25 |
| 1932695475 | Lynette Hale | Nurse Practitioner | 3416 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-07-09 |
| 1285136937 | Jessica Roth | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-03-07 |
| 1821511544 | Samantha Monroe | Behavior Technician | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2017-07-25 |
| Find all providers in zip 32563 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009605 | Leslynne Lee Green | Counselor | 2990 Gulf Breeze Pkwy / Counseling Suite, Gulf Breeze, FL 32563-3256 | 2020-10-06 |
| 1225655426 | Surgey Figueroa | Counselor | 1101 Gulf Breeze Pkwy Ste 12, Gulf Breeze, FL 32561-4892 | 2020-07-03 |
| 1396381794 | Harlan David Wallner | Counselor | 1101 Gulf Breeze Parkway, Bldg 5, Ste 12, Gulf Breeze, FL 32561-4892 | 2019-11-20 |
| 1528629383 | Maitri Counseling Center, LLC | Counselor | 2990 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3100 | 2019-06-24 |
| 1720545767 | Christina Marie Ropp | Counselor | 2990 Gulf Breeze Pkwy Ste A, Gulf Breeze, FL 32563-3100 | 2019-02-26 |
| 1063934560 | Cross Family Counseling, Pllc | Counselor | 913 Gulf Breeze Pkwy Ste 26a, Gulf Breeze, FL 32561-4731 | 2017-07-17 |
| 1366972648 | Tiffany Camille Vasek | Counselor | 3045 Ranchette Sq, Gulf Breeze, FL 32563-2611 | 2017-06-19 |
| 1720314313 | Nancy Pearce Sampson | Counselor | 5048 Lantana Dr, Gulf Breeze, FL 32563-8901 | 2009-11-02 |
| 1447406947 | Catherine Proctor Jehle | Counselor | 426 York St, Gulf Breeze, FL 32561-4155 | 2008-08-15 |
| 1962684779 | Kerry M Sise | Counselor | 1404 Rancho Villa Dr, Gulf Breeze, FL 32563-2618 | 2007-12-04 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32563 |
Please comment or provide details below to improve the information on MR. CARLOS ALBERTO JAZAN.
| 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.