Provider Demographics
NPI:1790774792
Name:CERVONI, FRANCISCO M (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:M
Last Name:CERVONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 863407
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-3407
Mailing Address - Country:US
Mailing Address - Phone:941-917-2600
Mailing Address - Fax:941-917-7884
Practice Address - Street 1:1921 WALDEMERE ST
Practice Address - Street 2:605
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2943
Practice Address - Country:US
Practice Address - Phone:941-917-8100
Practice Address - Fax:941-917-6334
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2017-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME65900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257182000Medicaid
FL110221828OtherRR MEDICARE ID
FL46463OtherBCBS
FL3899896-001OtherCIGNA ID
FLD08755Medicare UPIN
FL257182000Medicaid