Provider Demographics
NPI:1134150584
Name:BARATTA, FRANK GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:GEORGE
Last Name:BARATTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 EAST COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5804
Mailing Address - Country:US
Mailing Address - Phone:954-771-6200
Mailing Address - Fax:
Practice Address - Street 1:1880 E COMMERCIAL BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3747
Practice Address - Country:US
Practice Address - Phone:954-771-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME13158174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist