Provider Demographics
NPI:1083822779
Name:FRANCO, JON FLORES (MD)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:FLORES
Last Name:FRANCO
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 1:1076 LADY DI CT
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8391
Mailing Address - Country:US
Mailing Address - Phone:209-386-4660
Mailing Address - Fax:209-386-4795
Practice Address - Street 1:1076 LADY DI CT
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8391
Practice Address - Country:US
Practice Address - Phone:209-386-4660
Practice Address - Fax:209-386-4795
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC43340208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice