# FRANK T DIENST MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558548131
- **Authorized official:** FRANK T DIENST III M.D. (MEDICAL DOCTOR OWNER)
- **Authorized official phone:** (321) 268-1995

## Contact information

- **Practice address:** 123 S PARK AVE, TITUSVILLE, FL 32796-3377
- **Practice address phone:** (321) 268-1995
- **Practice address fax:** (321) 264-0727
- **Mailing address:** 123 S PARK AVE, TITUSVILLE, FL 32796-3377
- **Mailing address phone:** (321) 268-1995
- **Mailing address fax:** (321) 264-0727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2008
- **Last updated:** 02/28/2008
