MEDICARE: FRANK TRESGALLO MD

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	207P00000X	Emergency Medicine Physician	13100	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A018	OTHER	HI	TRICARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558314435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK TRESGALLO MD

Provider Business Mailing Address
First Line	:	PO BOX 10569
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32120-0569
Country	:	US
Telephone Number	:	386-274-7952
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 COLLIER BLVD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34114-3549
Country	:	US
Telephone Number	:	239-354-6000
Fax Number	:	239-354-6098

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	02/17/2017

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