Provider Demographics
NPI:1154820330
Name:FRANCOIS, PETERSON
Entity Type:Individual
Prefix:
First Name:PETERSON
Middle Name:
Last Name:FRANCOIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16807 RISING STAR DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34714-6383
Mailing Address - Country:US
Mailing Address - Phone:321-222-7871
Mailing Address - Fax:
Practice Address - Street 1:16807 RISING STAR DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-6383
Practice Address - Country:US
Practice Address - Phone:321-222-7871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program