Provider Demographics
NPI:1942208582
Name:FRANCO, GERARDO JORGE (DO)
Entity Type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:JORGE
Last Name:FRANCO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5727 NW 7TH ST
Mailing Address - Street 2:PMB 331
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3105
Mailing Address - Country:US
Mailing Address - Phone:305-899-0190
Mailing Address - Fax:305-899-0046
Practice Address - Street 1:11601 BISCAYNE BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181
Practice Address - Country:US
Practice Address - Phone:305-899-0190
Practice Address - Fax:305-899-0046
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2018-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS7620207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262212200Medicaid
FL262212200Medicaid
FLE5301ZMedicare ID - Type Unspecified