Provider Demographics
NPI:1427002401
Name:BIONDOLILLO, FRANK C (DO)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:C
Last Name:BIONDOLILLO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13196 BROADSTONE LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8840
Mailing Address - Country:US
Mailing Address - Phone:941-685-2129
Mailing Address - Fax:
Practice Address - Street 1:13196 BROADSTONE LN
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8840
Practice Address - Country:US
Practice Address - Phone:941-685-2129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8785207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G89259Medicare UPIN