Healthcare Provider Details

I. General information

NPI: 1477226611
Provider Name (Legal Business Name): FRANK A SCHIMANSKY III
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2021
Last Update Date: 07/25/2021
Certification Date: 07/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 LINCOLN ST
HOLLYWOOD FL
33021-5933
US

IV. Provider business mailing address

4302 LINCOLN ST
HOLLYWOOD FL
33021-5933
US

V. Phone/Fax

Practice location:
  • Phone: 954-242-0832
  • Fax:
Mailing address:
  • Phone: 954-242-0832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279S1500X
TaxonomySNF/Subacute Care Registered Respiratory Therapist
License NumberRT4916
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT4916
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: