Organization
FRANK T DIENST MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK T DIENST III M.D. (MEDICAL DOCTOR OWNER)
(321) 268-1995
Entity
Organization
Contact information
Practice address
123 S PARK AVE, TITUSVILLE, FL 32796-3377
(321) 268-1995
(321) 264-0727
Mailing address
123 S PARK AVE, TITUSVILLE, FL 32796-3377
(321) 268-1995
(321) 264-0727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02904
—
FL
Enumeration date
01/26/2008
Last updated
02/28/2008
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