Healthcare Provider Details

I. General information

NPI: 1548291727
Provider Name (Legal Business Name): FRANK B MARSALISI, MD PA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRANK B MARSALISI, MD PA

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7035 CENTRAL AVE SUITE B
ST PETERSBURG FL
33710-7559
US

IV. Provider business mailing address

7035 CENTRAL AVE SUITE B
ST PETERSBURG FL
33710-7559
US

V. Phone/Fax

Practice location:
  • Phone: 727-347-8039
  • Fax: 727-341-2359
Mailing address:
  • Phone: 727-347-8039
  • Fax: 727-341-2359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number0046501
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: