Healthcare Provider Details

I. General information

NPI: 1780551655
Provider Name (Legal Business Name): FRANK DAGOSTINO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8416 LOCKWOOD RIDGE RD
SARASOTA FL
34243-2903
US

IV. Provider business mailing address

132 EMERALD LN
LARGO FL
33771-2625
US

V. Phone/Fax

Practice location:
  • Phone: 941-355-3800
  • Fax:
Mailing address:
  • Phone: 941-355-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS5930
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: