Provider Demographics
NPI:1497749998
Name:CORBETT, FRANK EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:EDWARD
Last Name:CORBETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:F.
Other - Middle Name:SCOTT
Other - Last Name:CORBETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2089 HAWTHORNE ST.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239
Mailing Address - Country:US
Mailing Address - Phone:941-365-6556
Mailing Address - Fax:941-365-6678
Practice Address - Street 1:2089 HAWTHORNE ST.
Practice Address - Street 2:SUITE 200
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-365-6556
Practice Address - Fax:941-365-6678
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME37329207R00000X, 207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003247600Medicaid
FL0037329OtherME #
FLD67360Medicare UPIN
79854ZMedicare Oscar/Certification