MEDICARE: FRANCIS FUCILE

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	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417506494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS FUCILE

Provider Business Mailing Address
First Line	:	5336 SW LEEWARD LN
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-1206
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5336 SW LEEWARD LN
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-1206
Country	:	US
Telephone Number	:	561-512-0395
Fax Number	:

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

Provider Enumeration Date	:	09/11/2019
Last Update Date	:	09/11/2019

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Directions to “ FRANCIS FUCILE ” Practice Location

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