Provider Demographics
NPI:1508816950
Name:DILLEY, FRANCES LEONE (MD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:LEONE
Last Name:DILLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 PINEDA PLAZA WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-7306
Mailing Address - Country:US
Mailing Address - Phone:817-881-1492
Mailing Address - Fax:888-440-2093
Practice Address - Street 1:2955 PINEDA PLAZA WAY STE 105
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7306
Practice Address - Country:US
Practice Address - Phone:321-441-4304
Practice Address - Fax:888-440-2093
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9177207Q00000X
FLME126489207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1747602-01Medicaid
TX174760202Medicaid
FLME126489OtherFL MEDICAL LICENSE
TX174760203Medicaid
TX174760204Medicaid
TX174760202Medicaid
TX174760204Medicaid
TX8L1559Medicare PIN
TX8L1550Medicare PIN