Provider Demographics
NPI:1770517781
Name:NOVY, FRANK J III (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:NOVY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27060 CHILE DR
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33983-5815
Mailing Address - Country:US
Mailing Address - Phone:941-979-9592
Mailing Address - Fax:
Practice Address - Street 1:27060 CHILE DR
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33983-5815
Practice Address - Country:US
Practice Address - Phone:941-979-9592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 95991207PE0004X
IL207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK00241Medicare ID - Type Unspecified
ILF71832Medicare UPIN