Healthcare Provider Details

I. General information

NPI: 1881049567
Provider Name (Legal Business Name): JOEL IRA FRANCK MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 EASTLAND BLVD SUITE 7
CLEARWATER FL
33761-4104
US

IV. Provider business mailing address

3001 EASTLAND BLVD SUITE 7
CLEARWATER FL
33761-4104
US

V. Phone/Fax

Practice location:
  • Phone: 850-778-1547
  • Fax: 727-286-7738
Mailing address:
  • Phone: 850-778-1547
  • Fax: 727-286-7738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME99762
License Number StateFL

VIII. Authorized Official

Name: MS. PAMELA MARIE PERRIN
Title or Position: ARNP OFFICE MANAGER
Credential: A.R.N,P.
Phone: 850-778-1547