Provider Demographics
NPI:1154321735
Name:GERARDO J. FRANCO, D.O., P. A.
Entity Type:Organization
Organization Name:GERARDO J. FRANCO, D.O., P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:JORGE
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-899-0190
Mailing Address - Street 1:5727 NW 7TH ST
Mailing Address - Street 2:PMB 331
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3105
Mailing Address - Country:US
Mailing Address - Phone:305-899-0190
Mailing Address - Fax:305-899-0046
Practice Address - Street 1:11601 BISCAYNE BLVD
Practice Address - Street 2:STE. 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3151
Practice Address - Country:US
Practice Address - Phone:305-899-0190
Practice Address - Fax:305-899-0046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 7620207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2510Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER