Provider Demographics
NPI:1134219348
Name:CARPIO, FRANCISCO (MD,)
Entity type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:
Last Name:CARPIO
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 CENTENNIAL BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-0590
Mailing Address - Country:US
Mailing Address - Phone:850-431-2875
Mailing Address - Fax:850-431-2801
Practice Address - Street 1:2619 CENTENNIAL BLVD STE 102
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-0590
Practice Address - Country:US
Practice Address - Phone:850-431-2875
Practice Address - Fax:850-431-2801
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89952174400000X, 208800000X
CO43635208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO19420269Medicaid
CO19420269Medicaid
CO482367YLDKMedicare PIN