Provider Demographics
NPI:1063667913
Name:ANDRASIK, FRANK (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:ANDRASIK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2948 CORAL STRIP PKWY
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-2635
Mailing Address - Country:US
Mailing Address - Phone:850-346-8499
Mailing Address - Fax:850-932-1214
Practice Address - Street 1:2948 CORAL STRIP PKWY
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-2635
Practice Address - Country:US
Practice Address - Phone:850-346-8499
Practice Address - Fax:850-932-1214
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 3888103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical