Provider Demographics
NPI:1144333741
Name:CANTRELL, FRANK THEODORE (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:THEODORE
Last Name:CANTRELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:380 S STATE ROAD 434
Mailing Address - Street 2:SUITE 1004 PMB 118
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3810
Mailing Address - Country:US
Mailing Address - Phone:407-463-9075
Mailing Address - Fax:407-629-1267
Practice Address - Street 1:9521 SW STATE ROAD 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481
Practice Address - Country:US
Practice Address - Phone:352-671-2599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68432207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine