Provider Demographics
NPI:1144234105
Name:HARVEY A FRANK DC PA
Entity Type:Organization
Organization Name:HARVEY A FRANK DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-467-1900
Mailing Address - Street 1:1321 S ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1837
Mailing Address - Country:US
Mailing Address - Phone:954-467-1900
Mailing Address - Fax:954-467-1907
Practice Address - Street 1:1321 S ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1837
Practice Address - Country:US
Practice Address - Phone:954-467-1900
Practice Address - Fax:954-467-1907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL050496300Medicaid
FL88395OtherBLUE CROSS BLUE SHIELD
FL88395Medicare ID - Type Unspecified
FL050496300Medicaid