Healthcare Provider Details

I. General information

NPI: 1376581264
Provider Name (Legal Business Name): NORTHPOINT MEDICAL, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6405 N FEDERAL HWY SUITE 205
FT LAUDERDALE FL
33308-1412
US

IV. Provider business mailing address

6405 N FEDERAL HWY SUITE 205
FT LAUDERDALE FL
33308-1412
US

V. Phone/Fax

Practice location:
  • Phone: 954-772-2411
  • Fax: 954-772-3766
Mailing address:
  • Phone: 954-772-2411
  • Fax: 954-772-3766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS9426
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME 78680
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME 92140
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME 94965
License Number StateFL

VIII. Authorized Official

Name: DR. TODD A. FRALICH
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 954-772-2411