Provider Demographics
NPI:1013297670
Name:FRANCO, RONALD A
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:A
Last Name:FRANCO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2475 US 1
Mailing Address - Street 2:
Mailing Address - City:MIMS
Mailing Address - State:FL
Mailing Address - Zip Code:32754-3874
Mailing Address - Country:US
Mailing Address - Phone:321-267-1788
Mailing Address - Fax:
Practice Address - Street 1:2475 US 1
Practice Address - Street 2:
Practice Address - City:MIMS
Practice Address - State:FL
Practice Address - Zip Code:32754-3874
Practice Address - Country:US
Practice Address - Phone:321-267-1788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44630183500000X
NJ28RI02343700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist