Basic Information
| Provider Information | |||||||||
| NPI: | 1568436855 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANKEL | ||||||||
| FirstName: | JOEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2951 NW 49TH AVE | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | LAUDERDALE LAKES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333131600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544861250 | ||||||||
| FaxNumber: | 9544866736 | ||||||||
| Practice Location | |||||||||
| Address1: | 2951 NW 49TH AVE | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | LAUDERDALE LAKES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333131600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544861250 | ||||||||
| FaxNumber: | 9544866736 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2006 | ||||||||
| LastUpdateDate: | 06/02/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | ME26917 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207R00000X | ME0026917 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 065788300 | 05 | FL | MEDICAID |