Provider Demographics
NPI:1801857412
Name:HEALEY, FRANK HENRY III (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:HENRY
Last Name:HEALEY
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:4800 BELFORT RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6004
Mailing Address - Country:US
Mailing Address - Phone:904-398-7205
Mailing Address - Fax:904-265-4807
Practice Address - Street 1:4910 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-4817
Practice Address - Country:US
Practice Address - Phone:904-399-0667
Practice Address - Fax:904-399-3330
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2013-03-22
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Provider Licenses
StateLicense IDTaxonomies
FLME49019208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD50334Medicare UPIN
FL02101YMedicare PIN