Provider Demographics
NPI:1346289469
Name:FRANCO, DANIEL JORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JORGE
Last Name:FRANCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:646 VIRGINIA ST STE 204
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-6612
Mailing Address - Country:US
Mailing Address - Phone:727-736-3212
Mailing Address - Fax:813-635-2635
Practice Address - Street 1:646 VIRGINIA ST
Practice Address - Street 2:SUITE 204
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698
Practice Address - Country:US
Practice Address - Phone:727-736-3212
Practice Address - Fax:813-635-2635
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0082900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110226363OtherRAILROAD MEDICARE
FL261891500Medicaid
H46157Medicare UPIN
FL03004YMedicare PIN