Provider Demographics
NPI:1700851805
Name:PERRINO, FRANK SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:SCOTT
Last Name:PERRINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 260801
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33685-0801
Mailing Address - Country:US
Mailing Address - Phone:813-884-2825
Mailing Address - Fax:813-884-3901
Practice Address - Street 1:6301 MEMORIAL HWY
Practice Address - Street 2:STE 204
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4573
Practice Address - Country:US
Practice Address - Phone:813-884-2825
Practice Address - Fax:813-884-3901
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64885207R00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251569500Medicaid
FLF72723Medicare UPIN