Provider Demographics
NPI:1508979154
Name:CASDIA, FRANK PETER JR (DC, HAS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PETER
Last Name:CASDIA
Suffix:JR
Gender:M
Credentials:DC, HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 DEL PRADO BLVD S STE 8
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7238
Mailing Address - Country:US
Mailing Address - Phone:239-542-7000
Mailing Address - Fax:239-542-7710
Practice Address - Street 1:3013 DEL PRADO BLVD S STE 8
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7238
Practice Address - Country:US
Practice Address - Phone:239-542-7000
Practice Address - Fax:239-542-7710
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5345237700000X
FLCH6315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL24559Medicare UPIN
FL22703Medicare ID - Type Unspecified