Provider Demographics
NPI:1326323064
Name:PANTELAKIS, FRANK GEORGE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:GEORGE
Last Name:PANTELAKIS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6251 SW 58TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-2103
Mailing Address - Country:US
Mailing Address - Phone:305-764-5203
Mailing Address - Fax:
Practice Address - Street 1:1845 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-1504
Practice Address - Country:US
Practice Address - Phone:305-531-8868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45578183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist