Provider Demographics
NPI:1447248109
Name:PIZZOLATO, JOSEPH FRANK (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANK
Last Name:PIZZOLATO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4306 ALTON RD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2840
Mailing Address - Country:US
Mailing Address - Phone:305-535-3305
Mailing Address - Fax:305-535-3356
Practice Address - Street 1:1475 NW 12TH AVE STE 2AND3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1002
Practice Address - Country:US
Practice Address - Phone:305-243-5302
Practice Address - Fax:305-243-9161
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90372174400000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272076100Medicaid
FL272076100Medicaid
FLI16605Medicare UPIN