Provider Demographics
NPI:1104381912
Name:BERZANSKIS, FRANK ROBERT JR (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ROBERT
Last Name:BERZANSKIS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11133 TINDALL RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6354
Mailing Address - Country:US
Mailing Address - Phone:407-797-1994
Mailing Address - Fax:
Practice Address - Street 1:10743 NARCOOSSEE RD STE A12
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6946
Practice Address - Country:US
Practice Address - Phone:407-658-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12687111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor