Provider Demographics
NPI:1033853312
Name:GRAZIANO, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:GRAZIANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14261 SQUIRREL RUN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7950
Mailing Address - Country:US
Mailing Address - Phone:732-600-1615
Mailing Address - Fax:
Practice Address - Street 1:14261 SQUIRREL RUN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7950
Practice Address - Country:US
Practice Address - Phone:732-600-1615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-23
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer