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NPI Code Detail

MEDICARE: DR. FRANK DOMINIC CIRISANO JR. M.D.

MEDICARE: DR. FRANK DOMINIC CIRISANO JR. M.D.
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
1207VX0201XGynecologic Oncology PhysicianME0074132FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326030966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK DOMINIC CIRISANO JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 7957
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33482-7957
Country : US
Telephone Number : 561-447-0090
Fax Number : 561-447-9663
Provider Business Practice Location Address
First Line : 5280 LINTON BLVD STE 216
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-6516
Country : US
Telephone Number : 561-447-0090
Fax Number : 561-447-9663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 07/05/2023

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