Provider Demographics
NPI:1427014620
Name:IBORRA, FRANK (AP)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:IBORRA
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7071 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2143
Mailing Address - Country:US
Mailing Address - Phone:954-721-7252
Mailing Address - Fax:954-721-7242
Practice Address - Street 1:7071 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 2C
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-2143
Practice Address - Country:US
Practice Address - Phone:954-721-7252
Practice Address - Fax:954-721-7242
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP460171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist