Provider Demographics
NPI:1578735387
Name:FRANCOIS, KALEENA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KALEENA
Middle Name:
Last Name:FRANCOIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 S ORLANDO AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4870
Mailing Address - Country:US
Mailing Address - Phone:407-515-2211
Mailing Address - Fax:407-309-5412
Practice Address - Street 1:1101 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741
Practice Address - Country:US
Practice Address - Phone:407-933-2210
Practice Address - Fax:407-933-6428
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9104474363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAJ385ZOtherMEDICARE PTAN FIRST COAST SERVICE OPTIONS INC
FLAJ385ZOtherMEDICARE PTAN FIRST COAST SERVICE OPTIONS INC