Healthcare Provider Details

I. General information

NPI: 1396151551
Provider Name (Legal Business Name): FRANTZ CONCITE CRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10347 CARMEN LN
ROYAL PALM BEACH FL
33411-3011
US

IV. Provider business mailing address

10347 CARMEN LN
ROYAL PALM BEACH FL
33411-3011
US

V. Phone/Fax

Practice location:
  • Phone: 786-487-4149
  • Fax: 561-354-9725
Mailing address:
  • Phone: 786-487-4149
  • Fax: 561-354-9725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT15731
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: