| Frank T Dienst Md Pa | |
|
123 S Park Ave Titusville FL 32796-3377 | |
| (321) 268-1995 | |
| (321) 264-0727 |
| Full Name | Frank T Dienst Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 123 S Park Ave, Titusville, Florida |
| Authorized Official Name and Position | Frank T Dienst (MEDICAL DOCTOR OWNER) |
| Authorized Official Contact | 3212681995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank T Dienst Md Pa 123 S Park Ave Titusville FL 32796-3377 Ph: (321) 268-1995 | Frank T Dienst Md Pa 123 S Park Ave Titusville FL 32796-3377 Ph: (321) 268-1995 |
| NPI Number | 1558548131 |
|---|---|
| Provider Enumeration Date | 01/26/2008 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558548131 | NPI | - | NPPES |
| 02904 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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