Individual
FRANK WILLIAM AYESTARAN CASSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 DAVIS BLVD STE 200, TAMPA, FL 33606-3438
(823) 259-8760
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
ME123243
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015229500
—
FL
01
—
150KZ
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/15/2012
Last updated
10/27/2020
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