Provider Demographics
NPI:1801187307
Name:SQUATRITO, FRANCIA TATIANA (DPM)
Entity Type:Individual
Prefix:
First Name:FRANCIA
Middle Name:TATIANA
Last Name:SQUATRITO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 LEWIS TURNER BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-1277
Mailing Address - Country:US
Mailing Address - Phone:850-855-4048
Mailing Address - Fax:850-855-4068
Practice Address - Street 1:1775 LEWIS TURNER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-1277
Practice Address - Country:US
Practice Address - Phone:850-855-4048
Practice Address - Fax:850-855-4068
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
FLPO3656213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program