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NPI Code Detail

MEDICARE: DR. RICHARD S FROST DC

MEDICARE:  DR. RICHARD S FROST  DC
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
1111N00000XChiropractor5383NC
2111NI0013XIndependent Medical Examiner ChiropractorCH12646FL
3111N00000XChiropractorCH12646FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15383OTHERNCCHIROPRACTIC PHYSICIAN
2CH12646OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1275150484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD S FROST DC
Provider Business Mailing Address
First Line : 2480 E BAY DR STE 13
Second Line :
City : LARGO
State : FL
Zip : 33771-2467
Country : US
Telephone Number : 727-530-7778
Fax Number : 727-530-7797
Provider Business Practice Location Address
First Line : 2480 E BAY DR STE 13
Second Line :
City : LARGO
State : FL
Zip : 33771-2467
Country : US
Telephone Number : 727-530-7778
Fax Number : 727-530-7797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2020
Last Update Date : 12/07/2022

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Directions to “ DR. RICHARD S FROST DC” Practice Location

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