Jarrett Gardner
Individual provider Active NPI Case Manager/Care Coordinator · Indiantown, FL
NPI 1245807437 · NPPES record last updated Jun 7, 2021
Key facts
- NPI
- 1245807437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 15818 SW Warfield Blvd
Indiantown, FL 34956-3513 - Phone
- (561) 616-8411
- NPI assigned
- Jun 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | Yes |
Addresses
Primary practice location
15818 SW Warfield Blvd
Indiantown, FL 34956-3513
Mailing address
6944 NW Daffodil LN
Port St Lucie, FL 34983-1417
Other providers in Indiantown, FL
- Lawrence Anton Feriozzi
- Claudia Monica Ferro
- Florida Community Health Centers Inc
- Stephanie Fradley
- Maria Esther Garcia-Derose
- Juana Leticia Gaspar
- Geo Care, Inc.
- Michael F Gervasi
- Marta Elaina Giambrone
- Maria Ines Girado
All providers in Indiantown, FL · Case Manager/Care Coordinator in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.