Provider Demographics
NPI:1306992466
Name:FRANK DANIEL
Entity type:Organization
Organization Name:FRANK DANIEL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:334-858-8174
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 1:2231 SIXTH ST
Practice Address - Street 2:
Practice Address - City:FLORALA
Practice Address - State:AL
Practice Address - Zip Code:36442-0043
Practice Address - Country:US
Practice Address - Phone:334-858-8174
Practice Address - Fax:334-858-8521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy