Provider Demographics
NPI:1568496636
Name:FRANKEL, JON P (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:P
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5130 S POINTE DR
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-7405
Mailing Address - Country:US
Mailing Address - Phone:352-344-8641
Mailing Address - Fax:352-344-8641
Practice Address - Street 1:6201 N SUNCOAST BLVD
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34428-6712
Practice Address - Country:US
Practice Address - Phone:352-795-8379
Practice Address - Fax:352-795-8401
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0044457207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254407500Medicaid
FL105152400Medicaid
FL79857ZMedicare PIN
D58954Medicare UPIN
FL254407500Medicaid