Healthcare Provider Details

I. General information

NPI: 1922020320
Provider Name (Legal Business Name): FRANK VILASUSO M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6280 SUNSET DR
SOUTH MIAMI FL
33143-4827
US

IV. Provider business mailing address

PO BOX 431851
MIAMI FL
33243-1851
US

V. Phone/Fax

Practice location:
  • Phone: 305-251-3991
  • Fax: 305-251-7982
Mailing address:
  • Phone: 305-251-3991
  • Fax: 305-251-7982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME0038817
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME0038817
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: