Provider Demographics
NPI:1376155598
Name:COSSIO, FRANK EFRAIN (LDO)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:EFRAIN
Last Name:COSSIO
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 NE MIAMI PL APT 323
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1350
Mailing Address - Country:US
Mailing Address - Phone:305-498-2981
Mailing Address - Fax:
Practice Address - Street 1:2320 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1525
Practice Address - Country:US
Practice Address - Phone:305-649-4011
Practice Address - Fax:305-649-4023
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO6436156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician