Provider Demographics
NPI:1235453952
Name:FABBIANO, FRANK ROCCO (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ROCCO
Last Name:FABBIANO
Suffix:
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 1:4311 PLACE LE MANES
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5360
Mailing Address - Country:US
Mailing Address - Phone:716-480-1287
Mailing Address - Fax:
Practice Address - Street 1:2604 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1835
Practice Address - Country:US
Practice Address - Phone:813-879-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor