| Doctor Name: | MR. FRANK FANTO |
| NPI Number: | 1841638475 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2101 Vista Parkway Suite 4034 West Palm Beach, FL - 33411 |
| Business Phone Number: | 5612286134 |
| Business Fax Number: | 5618285954 |
| Mailing Address: | 2101 Vista Parkway, Suite 4034 WEST PALM BEACH |
| State: | FL |
| Postal Code: | 33411 |
| Phone Number: | 5612759051 |
| Fax Number: | 5618285954 |
| NPI Enumeration Date: | 06/05/2013 |
| NPI Last Update Date: | 07/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |