Healthcare Provider Details

I. General information

NPI: 1548585797
Provider Name (Legal Business Name): ALEXANDER CHARLES FRANK DC, DACNB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 02/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 BUENOS AIRES BLVD
LADY LAKE FL
32159-8974
US

IV. Provider business mailing address

9858 CLINT MOORE RD # C111-274
BOCA RATON FL
33496-1034
US

V. Phone/Fax

Practice location:
  • Phone: 352-571-5155
  • Fax: 352-633-1396
Mailing address:
  • Phone: 561-482-1144
  • Fax: 561-482-1145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberDC31069
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCH10093
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: