Healthcare Provider Details

I. General information

NPI: 1366801128
Provider Name (Legal Business Name): FRANK TRUE LANSDEN, JR., M.D., P.A.,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2016
Last Update Date: 02/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 UNITED ST SUITE B
KEY WEST FL
33040-3229
US

IV. Provider business mailing address

605 UNITED ST SUITE B
KEY WEST FL
33040-3229
US

V. Phone/Fax

Practice location:
  • Phone: 305-942-3664
  • Fax: 305-509-7535
Mailing address:
  • Phone: 305-942-3664
  • Fax: 305-509-7535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: MRS. LISA LANSDEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 305-942-3664