Provider Demographics
NPI:1700999398
Name:FRANK, CHAD E (DO)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:E
Last Name:FRANK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6710 W SUNRISE BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6066
Mailing Address - Country:US
Mailing Address - Phone:954-316-4905
Mailing Address - Fax:954-316-4969
Practice Address - Street 1:6710 W SUNRISE BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6066
Practice Address - Country:US
Practice Address - Phone:954-316-4905
Practice Address - Fax:954-316-4969
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8517207Q00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
H93188Medicare UPIN
U1238ZMedicare ID - Type Unspecified