Provider Demographics
NPI:1578908489
Name:FRANCLIN, EVELYNEFRANCLIN
Entity Type:Individual
Prefix:
First Name:EVELYNEFRANCLIN
Middle Name:
Last Name:FRANCLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FIRST MEDICAL
Other - Middle Name:
Other - Last Name:AND REHAB LLC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3220 1 ST STREET WEST
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208
Mailing Address - Country:US
Mailing Address - Phone:904-352-9990
Mailing Address - Fax:941-567-5669
Practice Address - Street 1:3220 1 ST STREET WEST
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208
Practice Address - Country:US
Practice Address - Phone:904-352-9990
Practice Address - Fax:941-567-5669
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC9298111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor