Provider Demographics
NPI:1184623019
Name:FRANK, MARVIN GARY (MD)
Entity type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:GARY
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1900 BROTHER GEENEN WAY
Mailing Address - Street 2:SENIOR FRIENDSHIP CENTERS, INC.
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-7102
Mailing Address - Country:US
Mailing Address - Phone:941-556-3215
Mailing Address - Fax:941-955-8214
Practice Address - Street 1:1900 BROTHER GEENEN WAY
Practice Address - Street 2:SENIOR FRIENDSHIP CENTERS, INC.
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7102
Practice Address - Country:US
Practice Address - Phone:941-556-3215
Practice Address - Fax:941-955-8214
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLLL559207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC52552Medicare UPIN
FLU2500ZMedicare ID - Type Unspecified