Provider Demographics
NPI:1467219428
Name:DAMATO, FRANCINE (CRPS)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:
Last Name:DAMATO
Suffix:
Gender:F
Credentials:CRPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3721 SW 60TH TER APT 3
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-2567
Mailing Address - Country:US
Mailing Address - Phone:954-213-4849
Mailing Address - Fax:
Practice Address - Street 1:3721 SW 60TH TER APT 3
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-2567
Practice Address - Country:US
Practice Address - Phone:954-213-4849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL175T00000X175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist