MEDICARE: FRANCKLIN GUILLAUME

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	3747P1801X	Personal Care Attendant
2	376J00000X	Homemaker
3	164W00000X	Licensed Practical Nurse	PN5225428	FL

General Provider Information

NPI Number	:	1467057992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCKLIN GUILLAUME

Provider Business Mailing Address
First Line	:	755 BRANDON PRESCOTT LN APT 205
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-8712
Country	:	US
Telephone Number	:	786-223-8893
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 BRANDON PRESCOTT LN APT 205
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-8712
Country	:	US
Telephone Number	:	786-223-8893
Fax Number	:

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

Provider Enumeration Date	:	12/02/2020
Last Update Date	:	12/02/2020

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Directions to “ FRANCKLIN GUILLAUME ” Practice Location

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