Provider Demographics
NPI:1255337077
Name:FROUNFELTER, CARY FRANKLIN (COP)
Entity type:Individual
Prefix:MR
First Name:CARY
Middle Name:FRANKLIN
Last Name:FROUNFELTER
Suffix:
Gender:M
Credentials:COP
Other - Prefix:MR
Other - First Name:CARY
Other - Middle Name:FRANKLIN
Other - Last Name:FROUNFELTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPO
Mailing Address - Street 1:825 CLEARWATER LARGO RD N
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-4124
Mailing Address - Country:US
Mailing Address - Phone:727-461-5278
Mailing Address - Fax:727-447-2950
Practice Address - Street 1:825 CLEARWATER LARGO RD N
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-4124
Practice Address - Country:US
Practice Address - Phone:727-461-5278
Practice Address - Fax:727-447-2950
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPR0201744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1195390001Medicare NSC