MEDICARE: DR. FRANCKY AUGUSTIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	1407.P.A.	PR

General Provider Information

NPI Number	:	1235856386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCKY AUGUSTIN MD

Provider Business Mailing Address
First Line	:	8552 NW 40TH ST
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-2912
Country	:	US
Telephone Number	:	754-304-2985
Fax Number	:

Provider Business Practice Location Address
First Line	:	8552 NW 40TH ST
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-2912
Country	:	US
Telephone Number	:	754-304-2985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2022
Last Update Date	:	10/20/2022

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