MEDICARE: DR. MICHAEL HOWARD FRONSTIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	ME12597	FL

General Provider Information

NPI Number	:	1215180252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL HOWARD FRONSTIN MD

Provider Business Mailing Address
First Line	:	104 ST. EDWARD PLACE
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418
Country	:	US
Telephone Number	:	561-691-4290
Fax Number	:	561-691-4296

Provider Business Practice Location Address
First Line	:	104 SAINT EDWARD PL
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4606
Country	:	US
Telephone Number	:	561-691-4290
Fax Number	:	561-691-4296

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2008
Last Update Date	:	11/03/2008

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