MEDICARE: FRANK J. LOMAGISTRO, M.D.,P.A.

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	174400000X	Specialist	ME0043106	FL

General Provider Information

NPI Number	:	1265550370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK J. LOMAGISTRO, M.D.,P.A.

Provider Business Mailing Address
First Line	:	1414 SE 3RD AVE
Second Line	:	SUITE 1
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1910
Country	:	US
Telephone Number	:	954-522-2190
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 SE 3RD AVE
Second Line	:	SUITE 1
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1910
Country	:	US
Telephone Number	:	954-522-2190
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANK JOSEPH LOMAGISTRO
Credential	:	M.D.
Telephone Number	:	954-522-2190

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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