Provider Demographics
NPI:1922018555
Name:FRANK, HARVEY A (DC)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:A
Last Name:FRANK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 S ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1837
Mailing Address - Country:US
Mailing Address - Phone:954-467-1900
Mailing Address - Fax:954-467-1907
Practice Address - Street 1:1321 S ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1837
Practice Address - Country:US
Practice Address - Phone:954-467-1900
Practice Address - Fax:954-467-1907
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL050496300Medicaid
FL88395OtherBLUE CROSS BLUE SHIELD
FL050496300Medicaid
FL88395Medicare PIN