MEDICARE: FRANCIS HEALTHCARE CENTER LLC

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	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1027968	OTHER	FL	NCPDP #

General Provider Information

NPI Number	:	1881885242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCIS HEALTHCARE CENTER LLC

Provider Business Mailing Address
First Line	:	2448 US HIGHWAY 1
Second Line	:
City	:	MIMS
State	:	FL
Zip	:	32754-3854
Country	:	US
Telephone Number	:	321-267-7423
Fax Number	:	321-264-2061

Provider Business Practice Location Address
First Line	:	2448 US HIGHWAY 1
Second Line	:
City	:	MIMS
State	:	FL
Zip	:	32754-3854
Country	:	US
Telephone Number	:	321-267-7423
Fax Number	:	321-264-2061

Authorized Official
Title or Position	:	OWNER PHARMACIST
Name	:	FRANCIS NGUYEN
Credential	:	RPH
Telephone Number	:	321-267-7423

Provider Enumeration Date	:	08/09/2007
Last Update Date	:	03/07/2023

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Directions to “FRANCIS HEALTHCARE CENTER LLC ” Practice Location

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