Provider Demographics
NPI:1417930116
Name:FRENCH, ERIC L (PT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:L
Last Name:FRENCH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 820
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34220-0820
Mailing Address - Country:US
Mailing Address - Phone:941-729-1738
Mailing Address - Fax:941-722-7844
Practice Address - Street 1:2010 59TH ST W
Practice Address - Street 2:STE 4700
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-4616
Practice Address - Country:US
Practice Address - Phone:941-794-3305
Practice Address - Fax:941-792-8881
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT1535225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY900VOtherBLUE SHIELD
FLY900TOtherBLUE SHIELD
FLY900UOtherBLUE SHIELD
K0902Medicare ID - Type Unspecified