Provider Demographics
NPI:1295842300
Name:FRANCIOSA, STEFAN VINCENT (DO)
Entity type:Individual
Prefix:
First Name:STEFAN
Middle Name:VINCENT
Last Name:FRANCIOSA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 NE 5TH AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5532
Mailing Address - Country:US
Mailing Address - Phone:561-270-0003
Mailing Address - Fax:561-431-8265
Practice Address - Street 1:393 NE 5TH AVE UNIT B
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5532
Practice Address - Country:US
Practice Address - Phone:561-270-0003
Practice Address - Fax:561-431-8265
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA128832085R0202X
NVDO20192085R0204X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOS012048OtherPENNSYLVANIA LICESNE
CA12883OtherCA LICENSE
AZ11481OtherARIZONA LICENSE
TXP8469OtherTEXAS LICENSE
NMDO2025-0004OtherNEW MEXICO LICENSE
IN02004207AOtherINDIANA LICENSE
GA70555OtherGEORGIA LICENSE
NVDO2019OtherNV LICENSE
LADO.000351OtherLOUISIANA LICESNE