Provider Demographics
NPI:1982855409
Name:FRANCISCO, SUE ANN J (MD)
Entity Type:Individual
Prefix:DR
First Name:SUE ANN
Middle Name:J
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 COMMODITY CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9001
Mailing Address - Country:US
Mailing Address - Phone:407-635-3277
Mailing Address - Fax:407-636-7875
Practice Address - Street 1:8500 COMMODITY CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9001
Practice Address - Country:US
Practice Address - Phone:407-635-3277
Practice Address - Fax:407-636-7875
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104697208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics