Provider Demographics
NPI:1457407900
Name:GALASKA, FRANK ROSSITER (MS)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ROSSITER
Last Name:GALASKA
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 SW 43RD ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-6217
Mailing Address - Country:US
Mailing Address - Phone:239-945-0226
Mailing Address - Fax:
Practice Address - Street 1:1731 SW 43RD ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6217
Practice Address - Country:US
Practice Address - Phone:239-945-0226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL760559500Medicaid