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General NPI Number Information
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NPI Number | 1962723445
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Entity Type | Individual
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Provider Name | BRIAN JOEL FROST DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 8740 N KENDALL DR SUITE 115A
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City | MIAMI
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State | FL
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Zip | 33176-2212
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Country | US
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Telephone | 305-598-0034
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Fax |
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Provider Business Mailing Address
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Address Line | 951 BRICKELL AVE APT. 807
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City | MIAMI
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State | FL
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Zip | 33131-3930
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Country | US
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Telephone | 305-498-5890
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 25567
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License Number State | FL
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