Provider Demographics
NPI:1619018553
Name:MANCARI, FRANK JR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:MANCARI
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4530 BERISFORD BLVD
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-2614
Mailing Address - Country:US
Mailing Address - Phone:727-385-4122
Mailing Address - Fax:
Practice Address - Street 1:4530 BERISFORD BLVD
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-2614
Practice Address - Country:US
Practice Address - Phone:727-385-4122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5951103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical