MEDICARE: DR FRANK LAURENZANO DC PA

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	225100000X	Physical Therapist
2	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	39293	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1467516963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR FRANK LAURENZANO DC PA

Provider Business Mailing Address
First Line	:	7750 OKEECHOBEE BLVD
Second Line	:	SUITE 17
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2104
Country	:	US
Telephone Number	:	561-687-2244
Fax Number	:	561-687-2277

Provider Business Practice Location Address
First Line	:	7750 OKEECHOBEE BLVD
Second Line	:	SUITE 17
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2104
Country	:	US
Telephone Number	:	561-687-2244
Fax Number	:	561-687-2277

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANK LAURENZANO
Credential	:	DC
Telephone Number	:	561-687-2244

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	10/11/2012

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Directions to “DR FRANK LAURENZANO DC PA ” Practice Location

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