Individual
DR. FRANK THEODORE DIENST III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
951 N WASHINGTON AVE, CRITICAL CARE DEPT, TITUSVILLE, FL 32796-2163
(321) 268-6111
(321) 268-6360
Mailing address
805 CENTURY MEDICAL DR, CREDENTIALING OFFICE, TITUSVILLE, FL 32796-2100
(321) 268-6111
(321) 268-6360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME43602
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME43602
FL
207RP1001X
Pulmonary Disease Physician
ME43602
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME43602
FL
208M00000X
Hospitalist Physician
ME43602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069504100
—
FL
Enumeration date
07/22/2006
Last updated
02/18/2016
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