Healthcare Provider Details

I. General information

NPI: 1811260664
Provider Name (Legal Business Name): RIVKAH FRANKLIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RIVKAH FISCHWEICHER

II. Dates (important events)

Enumeration Date: 02/09/2012
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 S FEDERAL HWY
FORT LAUDERDALE FL
33316-1218
US

IV. Provider business mailing address

900 S PINE ISLAND RD SUITE 800
PLANTATION FL
33324-3920
US

V. Phone/Fax

Practice location:
  • Phone: 954-315-5784
  • Fax: 954-522-0755
Mailing address:
  • Phone: 954-315-5784
  • Fax: 954-522-0755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number015337
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9108556
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: