Provider Demographics
NPI:1639183692
Name:MANUEL A. FRANCO MD PA
Entity Type:Organization
Organization Name:MANUEL A. FRANCO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-631-9875
Mailing Address - Street 1:600 NW 35TH AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4000
Mailing Address - Country:US
Mailing Address - Phone:305-631-9875
Mailing Address - Fax:305-631-9858
Practice Address - Street 1:600 NW 35TH AVE
Practice Address - Street 2:STE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4000
Practice Address - Country:US
Practice Address - Phone:305-631-9875
Practice Address - Fax:305-631-9858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55703207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051928600Medicaid
FL051928600Medicaid
FL11735Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER