Provider Demographics
NPI:1801652045
Name:IANNOTTI, FRANK JOHN (CEP)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:JOHN
Last Name:IANNOTTI
Suffix:
Gender:M
Credentials:CEP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5701 NORTH UNIVERSITY DRIVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067
Mailing Address - Country:US
Mailing Address - Phone:954-518-7500
Mailing Address - Fax:954-518-7501
Practice Address - Street 1:5701 NORTH UNIVERSITY DRIVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067
Practice Address - Country:US
Practice Address - Phone:954-518-7500
Practice Address - Fax:954-518-7501
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN632486224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist