Provider Demographics
NPI:1639603830
Name:PANKO, FRANCESCA (ARNP)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:PANKO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 SE OCEAN BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-3341
Mailing Address - Country:US
Mailing Address - Phone:772-283-4428
Mailing Address - Fax:772-600-1719
Practice Address - Street 1:2221 SE OCEAN BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3341
Practice Address - Country:US
Practice Address - Phone:772-283-4428
Practice Address - Fax:772-600-1719
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9295427363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health