Provider Demographics
NPI:1033433685
Name:FRANCIS A ASHIE MD PA
Entity Type:Organization
Organization Name:FRANCIS A ASHIE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:AFUTU
Authorized Official - Last Name:ASHIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-636-1834
Mailing Address - Street 1:1007 BEVERLY DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-2833
Mailing Address - Country:US
Mailing Address - Phone:321-636-1834
Mailing Address - Fax:321-636-1694
Practice Address - Street 1:1007 BEVERLY DR
Practice Address - Street 2:SUITE C
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2833
Practice Address - Country:US
Practice Address - Phone:321-636-1834
Practice Address - Fax:321-636-1694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77462207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268094700Medicaid
FL268094700Medicaid
FLK5899Medicare PIN