Provider Demographics
NPI:1851513642
Name:FRANCISCO JEANNOT M D P A
Entity Type:Organization
Organization Name:FRANCISCO JEANNOT M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:JEANNOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-255-9930
Mailing Address - Street 1:333 NW 70TH AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2364
Mailing Address - Country:US
Mailing Address - Phone:954-255-9930
Mailing Address - Fax:954-255-9932
Practice Address - Street 1:300 NW 70TH AVE STE 107
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2360
Practice Address - Country:US
Practice Address - Phone:954-255-9930
Practice Address - Fax:954-255-9932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80920261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH30430Medicare UPIN
FL35787Medicare ID - Type Unspecified