Healthcare Provider Details

I. General information

NPI: 1407832744
Provider Name (Legal Business Name): FRANK P HULL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10059 NW 1ST CT
PLANTATION FL
33324-7006
US

IV. Provider business mailing address

PO BOX 21666
FT LAUDERDALE FL
33335-1666
US

V. Phone/Fax

Practice location:
  • Phone: 954-522-7226
  • Fax: 954-522-1840
Mailing address:
  • Phone: 954-522-7226
  • Fax: 954-522-1840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME87737
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME87737
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: