Provider Demographics
NPI:1003833732
Name:FRAIN, FLORENCE JOSEPHINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:FLORENCE
Middle Name:JOSEPHINE
Last Name:FRAIN
Suffix:
Gender:F
Credentials:PHD
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 217
Mailing Address - Street 2:
Mailing Address - City:INDIAN ROCKS BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33785
Mailing Address - Country:US
Mailing Address - Phone:727-593-9390
Mailing Address - Fax:727-593-9068
Practice Address - Street 1:19239 GULF BLVD
Practice Address - Street 2:UNIT #1
Practice Address - City:INDIAN SHORES
Practice Address - State:FL
Practice Address - Zip Code:33785
Practice Address - Country:US
Practice Address - Phone:727-593-9390
Practice Address - Fax:727-593-9068
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3326103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75242Medicare ID - Type Unspecified