Provider Demographics
NPI:1881885242
Name:FRANCIS HEALTHCARE CENTER LLC
Entity type:Organization
Organization Name:FRANCIS HEALTHCARE CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:321-267-7423
Mailing Address - Street 1:2448 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:MIMS
Mailing Address - State:FL
Mailing Address - Zip Code:32754-3854
Mailing Address - Country:US
Mailing Address - Phone:321-267-7423
Mailing Address - Fax:321-264-2061
Practice Address - Street 1:2448 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:MIMS
Practice Address - State:FL
Practice Address - Zip Code:32754-3854
Practice Address - Country:US
Practice Address - Phone:321-267-7423
Practice Address - Fax:321-264-2061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1027968OtherNCPDP #
FL1027968OtherNCPDP #
FLFF0576770OtherDEA #