Healthcare Provider Details

I. General information

NPI: 1093743940
Provider Name (Legal Business Name): JOHN VINCENT FRANGIONI M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 WINDSURF LN # A-203
NAPLES FL
34108-8725
US

IV. Provider business mailing address

661 WINDSURF LN # A-203
NAPLES FL
34108-8725
US

V. Phone/Fax

Practice location:
  • Phone: 617-538-0158
  • Fax: 781-772-6588
Mailing address:
  • Phone: 617-538-0158
  • Fax: 781-772-6588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME172632
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: