Provider Demographics
NPI:1770367377
Name:TABANA, FRANCESCA GEORGIANA
Entity type:Individual
Prefix:MS
First Name:FRANCESCA
Middle Name:GEORGIANA
Last Name:TABANA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FRANKIE
Other - Middle Name:
Other - Last Name:TABANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1111 HYPOLUXO RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-4271
Mailing Address - Country:US
Mailing Address - Phone:772-873-8811
Mailing Address - Fax:772-873-8800
Practice Address - Street 1:518 SW PRIMA VISTA BLVD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-8734
Practice Address - Country:US
Practice Address - Phone:772-873-8811
Practice Address - Fax:772-873-8800
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator