Provider Demographics
NPI:1043316086
Name:FRANZ LUCAS & BERNSTEIN MD PA
Entity Type:Organization
Organization Name:FRANZ LUCAS & BERNSTEIN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-644-6465
Mailing Address - Street 1:1555 HOWELL BRANCH RD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1109
Mailing Address - Country:US
Mailing Address - Phone:407-644-6465
Mailing Address - Fax:407-647-4251
Practice Address - Street 1:1555 HOWELL BRANCH RD
Practice Address - Street 2:SUITE B2
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1109
Practice Address - Country:US
Practice Address - Phone:407-644-6465
Practice Address - Fax:407-647-4251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME20246174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00553Medicare ID - Type Unspecified