Provider Demographics
NPI:1376526269
Name:FRANZESE, FRANK P (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:P
Last Name:FRANZESE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-5040
Mailing Address - Country:US
Mailing Address - Phone:727-343-0600
Mailing Address - Fax:727-344-6163
Practice Address - Street 1:6600 66TH ST N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-5040
Practice Address - Country:US
Practice Address - Phone:727-343-0600
Practice Address - Fax:727-344-6163
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00622022085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL210150OtherHEALTHEASE
FL204639OtherAMERIGROUP
FL205225OtherAV-MED
FL18115OtherBC-BS
FL4605651OtherAETNA
FL0775012001OtherCIGNA
FL258470100Medicaid
FL592057918OtherHUMANA
FL210150OtherWELLCARE
FL258470100Medicaid
FL18115OtherBC-BS
FL204639OtherAMERIGROUP