Provider Demographics
NPI:1750048138
Name:FRAGE, FRANCOISE ROSE ANASTASIE (SA-C)
Entity type:Individual
Prefix:
First Name:FRANCOISE ROSE
Middle Name:ANASTASIE
Last Name:FRAGE
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 NE 56TH ST # 2
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-2422
Mailing Address - Country:US
Mailing Address - Phone:786-624-0657
Mailing Address - Fax:
Practice Address - Street 1:2 NE 56TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-2422
Practice Address - Country:US
Practice Address - Phone:786-624-0657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-20
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21-665246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant