MEDICARE: DENNIS D FRINK D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS3476	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	81955	OTHER	FL	BLUE CROSS PROV #

General Provider Information

NPI Number	:	1184662371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS D FRINK D.O.

Provider Business Mailing Address
First Line	:	PO BOX 152387
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33915
Country	:	US
Telephone Number	:	239-945-1919
Fax Number	:	239-945-2392

Provider Business Practice Location Address
First Line	:	418 SW 47TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-6506
Country	:	US
Telephone Number	:	239-945-1919
Fax Number	:	239-945-2392

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	08/23/2010

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Directions to “ DENNIS D FRINK D.O.” Practice Location

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