MEDICARE: DR. FRANK S ONOFRIO JR. M.D.

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	207R00000X	Internal Medicine Physician	ME48600	FL

General Provider Information

NPI Number	:	1629296538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK S ONOFRIO JR. M.D.

Provider Business Mailing Address
First Line	:	11117 REGATTA LN
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33467-7416
Country	:	US
Telephone Number	:	561-798-9686
Fax Number	:	561-798-9686

Provider Business Practice Location Address
First Line	:	4210 NORTHLAKE BLVD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6252
Country	:	US
Telephone Number	:	561-622-4454
Fax Number	:	561-622-9933

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/08/2007

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