MEDICARE: DR. DAMIAN MARK FRONZAGLIA D.C.

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	111N00000X	Chiropractor	CH7734	FL

General Provider Information

NPI Number	:	1215081237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAMIAN MARK FRONZAGLIA D.C.

Provider Business Mailing Address
First Line	:	9768 W SAMPLE RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4004
Country	:	US
Telephone Number	:	954-228-4635
Fax Number	:	754-229-8712

Provider Business Practice Location Address
First Line	:	9768 W SAMPLE RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4004
Country	:	US
Telephone Number	:	954-228-4635
Fax Number	:	754-229-8712

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	06/11/2019

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