Provider Demographics
NPI:1447211396
Name:WANG, FRANK K (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:K
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 558750
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33255-8750
Mailing Address - Country:US
Mailing Address - Phone:305-663-8409
Mailing Address - Fax:305-663-8573
Practice Address - Street 1:3100 SW 62 AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155
Practice Address - Country:US
Practice Address - Phone:305-663-8409
Practice Address - Fax:305-663-8573
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63929207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL376803100Medicaid
F89109Medicare UPIN