Provider Demographics
NPI:1669549374
Name:CONIDI, FRANCIS XAVIER (DO,MS,PA)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:XAVIER
Last Name:CONIDI
Suffix:
Gender:M
Credentials:DO,MS,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10377 S US HIGHWAY 1
Mailing Address - Street 2:SUITE # 104
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-5630
Mailing Address - Country:US
Mailing Address - Phone:772-337-7272
Mailing Address - Fax:772-337-7734
Practice Address - Street 1:10377 S US HIGHWAY 1
Practice Address - Street 2:SUITE # 104
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5630
Practice Address - Country:US
Practice Address - Phone:772-337-7272
Practice Address - Fax:772-337-7734
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7863204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL47146AMedicare ID - Type Unspecified
FLG98816Medicare UPIN