Basic Information
Provider Information
NPI: 1669497244
EntityType: 2
ReplacementNPI:  
OrganizationName: FRANKOWITZ, SALTZMAN AND TYTLER D/B/A SUNRISE MEDICAL GROUP
LastName:  
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Mailing Information
Address1: 6738 W SUNRISE BLVD
Address2: SUITE 103
City: PLANTATION
State: FL
PostalCode: 333136070
CountryCode: US
TelephoneNumber: 9545830412
FaxNumber: 9545843906
Practice Location
Address1: 6738 W SUNRISE BLVD
Address2: SUITE 103
City: PLANTATION
State: FL
PostalCode: 333136070
CountryCode: US
TelephoneNumber: 9545830412
FaxNumber: 9545843906
Other Information
ProviderEnumerationDate: 07/13/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: SALTZMAN
AuthorizedOfficialFirstName: DAVID
AuthorizedOfficialMiddleName: BARRY
AuthorizedOfficialTitleorPosition: PHYSICIAN
AuthorizedOfficialTelephone: 9545830412
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: D.O.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X FLY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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