Provider Demographics
NPI:1497082606
Name:FRANKS WELLNESS CLINIC INC
Entity Type:Organization
Organization Name:FRANKS WELLNESS CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PIER
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:844-455-7246
Mailing Address - Street 1:PO BOX 270652
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33688-0652
Mailing Address - Country:US
Mailing Address - Phone:727-397-6570
Mailing Address - Fax:727-397-6738
Practice Address - Street 1:9555 SEMINOLE BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-2562
Practice Address - Country:US
Practice Address - Phone:727-397-6570
Practice Address - Fax:727-397-6738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL79760AMedicare PIN
FLD58913Medicare UPIN