Provider Demographics
NPI:1023266319
Name:FRANCO, MELISSA NOELLE (DO)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:NOELLE
Last Name:FRANCO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13101 S DIXIE HWY
Mailing Address - Street 2:STE 400
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-6509
Mailing Address - Country:US
Mailing Address - Phone:786-467-5700
Mailing Address - Fax:
Practice Address - Street 1:8750 SW 144TH ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33176-7296
Practice Address - Country:US
Practice Address - Phone:786-467-5701
Practice Address - Fax:786-533-9445
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46687207Q00000X
FLOS9951207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45136378Medicaid
FL004668400Medicaid
CO301427Medicare PIN