Provider Demographics
NPI:1881049567
Name:JOEL IRA FRANCK MD PLLC
Entity type:Organization
Organization Name:JOEL IRA FRANCK MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:ARN,P
Authorized Official - Phone:850-778-1547
Mailing Address - Street 1:3001 EASTLAND BLVD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-4104
Mailing Address - Country:US
Mailing Address - Phone:850-778-1547
Mailing Address - Fax:727-286-7738
Practice Address - Street 1:3001 EASTLAND BLVD
Practice Address - Street 2:SUITE 7
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-4104
Practice Address - Country:US
Practice Address - Phone:850-778-1547
Practice Address - Fax:727-286-7738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-29
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99762207T00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty