Provider Demographics
NPI:1134386998
Name:FRANK, MICHELE ELIZABETH (MT)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:ELIZABETH
Last Name:FRANK
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10405 MAJESTIC DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-5047
Mailing Address - Country:US
Mailing Address - Phone:727-517-2732
Mailing Address - Fax:
Practice Address - Street 1:10,000 BAY PINES BLVD
Practice Address - Street 2:P&LMS (113), BLDG 100, RM 2B-129
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33744
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:727-319-1205
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTN36107246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist