Provider Demographics
NPI:1689833451
Name:LEDESMA, FRANCISCA (MD)
Entity Type:Individual
Prefix:MS
First Name:FRANCISCA
Middle Name:
Last Name:LEDESMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:FRANCISCA
Other - Middle Name:
Other - Last Name:PICKOPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6450 COLLINS AVE APT 909
Mailing Address - Street 2:OCEAN PARK CONDOMINIUM
Mailing Address - City:MB
Mailing Address - State:FL
Mailing Address - Zip Code:33141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6440 SOUTH MILLROCK DRIVE SUITE 175
Practice Address - Street 2:COMP HEALTH LOCUM TENENS
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121
Practice Address - Country:US
Practice Address - Phone:800-453-3030
Practice Address - Fax:800-328-3091
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME31880207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067061800Medicaid
200000000026715OtherPRACTITIONER
200000000026715OtherPRACTITIONER