Healthcare Provider Details

I. General information

NPI: 1164088019
Provider Name (Legal Business Name): ALEXANDER MARC FRANK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST STE 702
MIAMI FL
33136-2118
US

IV. Provider business mailing address

1115 NW 14TH ST
MIAMI FL
33136-2106
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-9808
  • Fax:
Mailing address:
  • Phone: 305-243-5512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberME175180
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: