Provider Demographics
NPI:1114026929
Name:FRISCH, DENNIS ROBERT (DPM)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ROBERT
Last Name:FRISCH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 GLADES RD
Mailing Address - Street 2:STE 2A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6401
Mailing Address - Country:US
Mailing Address - Phone:561-395-4243
Mailing Address - Fax:561-392-8353
Practice Address - Street 1:950 GLADES RD STE 2A
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6401
Practice Address - Country:US
Practice Address - Phone:561-395-4243
Practice Address - Fax:561-392-8353
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2023-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 0001527213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPO0001527OtherLICENSE NUMBER
FLT95181Medicare PIN
FLPO0001527OtherLICENSE NUMBER
FL87798Medicare PIN