Healthcare Provider Details

I. General information

NPI: 1770961831
Provider Name (Legal Business Name): FRANKS INJURY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2015
Last Update Date: 05/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9555 SEMINOLE BLVD SUITE 204
SEMINOLE FL
33772-2562
US

IV. Provider business mailing address

PO BOX 341484
TAMPA FL
33694-1484
US

V. Phone/Fax

Practice location:
  • Phone: 813-606-4002
  • Fax: 813-606-4440
Mailing address:
  • Phone: 813-606-4002
  • Fax: 813-606-4440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME41659
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME41659
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME41659
License Number StateFL

VIII. Authorized Official

Name: DAVID FRANK
Title or Position: MGR
Credential: MBA
Phone: 813-606-4002