Provider Demographics
NPI:1457536781
Name:DANIELS, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:DANIELS
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 1:8201 POMPANO ST
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-6924
Mailing Address - Country:US
Mailing Address - Phone:334-858-8174
Mailing Address - Fax:334-858-8521
Practice Address - Street 1:8201 POMPANO ST
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-6924
Practice Address - Country:US
Practice Address - Phone:334-858-8174
Practice Address - Fax:334-858-8521
Is Sole Proprietor?:No
Enumeration Date:2008-01-06
Last Update Date:2008-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist