MEDICARE: DR. FRANK ROCCO FABBIANO 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	CH 9904	FL

General Provider Information

NPI Number	:	1235453952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK ROCCO FABBIANO D.C.

Provider Business Mailing Address
First Line	:	4311 PLACE LE MANES
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-5360
Country	:	US
Telephone Number	:	716-480-1287
Fax Number	:

Provider Business Practice Location Address
First Line	:	2604 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1835
Country	:	US
Telephone Number	:	813-879-6200
Fax Number	:

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

Provider Enumeration Date	:	03/24/2010
Last Update Date	:	03/24/2010

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