Provider Demographics
NPI:1851371736
Name:PAOLANTONIO, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:PAOLANTONIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6855 SAN MARINO DR APT 210
Mailing Address - Street 2:SUITE 3950
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-5573
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6855 SAN MARINO DR APT 210
Practice Address - Street 2:SUITE 3950
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-5573
Practice Address - Country:US
Practice Address - Phone:717-817-2505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS86552085R0202X
PAOS004884L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1208588Medicaid
PA1208588Medicaid
E55586Medicare UPIN