Healthcare Provider Details
I. General information
NPI: 1023212537
Provider Name (Legal Business Name): FRANK CATALFUMO, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
410 SE HIBISCUS AVE
STUART FL
34996-2550
US
IV. Provider business mailing address
410 SE HIBISCUS AVE
STUART FL
34996-2550
US
V. Phone/Fax
- Phone: 772-463-0835
- Fax: 772-283-0480
- Phone: 772-463-0835
- Fax: 772-283-0480
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YX0905X |
| Taxonomy | Otolaryngology/Facial Plastic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANK
CATALFUMO
Title or Position: PROPRIETOR
Credential: M.D.
Phone: 772-463-0835