Provider Demographics
NPI:1336691344
Name:CARMONA, FRANCIS MARTINEZ (DDS)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:MARTINEZ
Last Name:CARMONA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:FRANCIS
Other - Middle Name:
Other - Last Name:MARTINEZ FRAGELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:8870 LAKEVIEW PL
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4121
Mailing Address - Country:US
Mailing Address - Phone:786-597-2199
Mailing Address - Fax:
Practice Address - Street 1:11903 SOUTHERN BLVD
Practice Address - Street 2:UNIT 102
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7644
Practice Address - Country:US
Practice Address - Phone:561-459-2733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN223451223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry