Provider Demographics
NPI:1821465360
Name:FRANCIS, NAYIB SR (SA-C)
Entity Type:Individual
Prefix:
First Name:NAYIB
Middle Name:
Last Name:FRANCIS
Suffix:SR
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2244 SALERNO CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1922
Mailing Address - Country:US
Mailing Address - Phone:954-319-4670
Mailing Address - Fax:
Practice Address - Street 1:2244 SALERNO CIR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1922
Practice Address - Country:US
Practice Address - Phone:954-319-4670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14-584246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant