Provider Demographics
NPI:1508816950
Name:DILLEY, FRANCES LEONE (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:LEONE
Last Name:DILLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 BARTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-3144
Mailing Address - Country:US
Mailing Address - Phone:321-414-0125
Mailing Address - Fax:321-414-0126
Practice Address - Street 1:548 BARTON BLVD
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3144
Practice Address - Country:US
Practice Address - Phone:321-414-0125
Practice Address - Fax:321-414-0126
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9177207Q00000X
FLME126489207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174760203Medicaid
FLME126489OtherFL MEDICAL LICENSE
TX1747602-01Medicaid
TX174760204Medicaid
TX174760202Medicaid
TX174760202Medicaid
TX174760204Medicaid
TX8L1559Medicare PIN
TX8L1550Medicare PIN