Provider Demographics
NPI:1033250154
Name:FRANCILLON, DARLY (DO)
Entity Type:Individual
Prefix:
First Name:DARLY
Middle Name:
Last Name:FRANCILLON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10910 WEST FLAGLER ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1218
Mailing Address - Country:US
Mailing Address - Phone:305-552-1303
Mailing Address - Fax:
Practice Address - Street 1:10910 W FLAGLER ST
Practice Address - Street 2:SUITE 108
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1280
Practice Address - Country:US
Practice Address - Phone:305-552-1303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4223156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician