Provider Demographics
NPI:1689632192
Name:FLASTERSTEIN, FRANK (MD PA)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:FLASTERSTEIN
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 S AUSTRALIAN AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5012
Mailing Address - Country:US
Mailing Address - Phone:561-805-8500
Mailing Address - Fax:561-805-8501
Practice Address - Street 1:1722 STATE ROAD 44
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-8339
Practice Address - Country:US
Practice Address - Phone:386-428-3241
Practice Address - Fax:386-427-8440
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00045219207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B96383Medicare UPIN
K1337Medicare ID - Type UnspecifiedGROUP
96893YMedicare ID - Type UnspecifiedINDIVIDUAL