Provider Demographics
NPI:1053732529
Name:LA CORTE, FRANK (CPH, PD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:LA CORTE
Suffix:
Gender:M
Credentials:CPH, PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8349 NW 51ST MNR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2807
Mailing Address - Country:US
Mailing Address - Phone:954-803-3829
Mailing Address - Fax:
Practice Address - Street 1:8349 NW 51ST MNR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2807
Practice Address - Country:US
Practice Address - Phone:954-803-3829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31683183500000X
FLPU6651183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist