Provider Demographics
NPI:1093183469
Name:THE ATHLETE'S CLINIC, PLLC
Entity Type:Organization
Organization Name:THE ATHLETE'S CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEFRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-774-8784
Mailing Address - Street 1:8201 PETERS RD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3265
Mailing Address - Country:US
Mailing Address - Phone:954-774-8784
Mailing Address - Fax:
Practice Address - Street 1:8201 PETERS RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3265
Practice Address - Country:US
Practice Address - Phone:954-774-8784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME119307207X00000X, 207XS0114X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Multi-Specialty