Provider Demographics
NPI:1205026853
Name:VICENTE F. FRANCO M.D.,P.A.
Entity Type:Organization
Organization Name:VICENTE F. FRANCO M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:FULGENCIO
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:305-262-9333
Mailing Address - Street 1:1884 SW 57TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2139
Mailing Address - Country:US
Mailing Address - Phone:305-262-9333
Mailing Address - Fax:305-262-9332
Practice Address - Street 1:1884 SW 57TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2139
Practice Address - Country:US
Practice Address - Phone:305-262-9333
Practice Address - Fax:305-262-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0065682261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374703400Medicaid
FLD15876Medicare UPIN
FL374703400Medicaid