Provider Demographics
NPI:1376581264
Name:NORTHPOINT MEDICAL, P.A.
Entity Type:Organization
Organization Name:NORTHPOINT MEDICAL, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRALICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-772-2411
Mailing Address - Street 1:6405 N FEDERAL HWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1412
Mailing Address - Country:US
Mailing Address - Phone:954-772-2411
Mailing Address - Fax:954-772-3766
Practice Address - Street 1:6405 N FEDERAL HWY
Practice Address - Street 2:SUITE 205
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1412
Practice Address - Country:US
Practice Address - Phone:954-772-2411
Practice Address - Fax:954-772-3766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9426207Q00000X
FLME 78680207R00000X
FLME 92140207R00000X
FLME 94965207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
41051ZMedicare ID - Type UnspecifiedDR. BARTCZAK'S MEDICARE #
47118BMedicare ID - Type UnspecifiedDR. FRALICHS MEDICARE #
FLK3727Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
U 6023 ZMedicare ID - Type UnspecifiedDR. DAVIDSON'S MEDICARE #