Provider Demographics
NPI:1255767190
Name:VECCHIO, FRANK
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:VECCHIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 GINGER RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-1521
Mailing Address - Country:US
Mailing Address - Phone:941-408-7283
Mailing Address - Fax:941-244-0097
Practice Address - Street 1:211 GINGER RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-1521
Practice Address - Country:US
Practice Address - Phone:941-408-7283
Practice Address - Fax:941-244-0097
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL69056343747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider