Provider Demographics
NPI:1538135132
Name:FRANK, PIER D (MD)
Entity type:Individual
Prefix:
First Name:PIER
Middle Name:D
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 270652
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33688-0652
Mailing Address - Country:US
Mailing Address - Phone:813-962-0072
Mailing Address - Fax:813-962-0343
Practice Address - Street 1:2707 N HIMES AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-2113
Practice Address - Country:US
Practice Address - Phone:813-962-0072
Practice Address - Fax:813-962-0343
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL ME0041659207Q00000X
FLME0041659208VP0000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL069480100Medicaid
FL79760AMedicare PIN
FL79760AMedicare ID - Type Unspecified
FL069480100Medicaid