Provider Demographics
NPI:1134190010
Name:CRITTENDEN, FRANK M JR (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:M
Last Name:CRITTENDEN
Suffix:JR
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 1:1000 45TH ST
Mailing Address - Street 2:BLDG 1 STE B
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2434
Mailing Address - Country:US
Mailing Address - Phone:561-863-1000
Mailing Address - Fax:561-863-1319
Practice Address - Street 1:1000 45TH ST
Practice Address - Street 2:BLDG 1 STE B
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2434
Practice Address - Country:US
Practice Address - Phone:561-863-1000
Practice Address - Fax:561-863-1319
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME17804207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D55744Medicare UPIN
50590YMedicare ID - Type Unspecified