Healthcare Provider Details

I. General information

NPI: 1366629370
Provider Name (Legal Business Name): NERI FRANZON M.D.,P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4390 N FEDERAL HWY STE 101
FT LAUDERDALE FL
33308-5215
US

IV. Provider business mailing address

4390 N FEDERAL HWY STE 101
FT LAUDERDALE FL
33308-5215
US

V. Phone/Fax

Practice location:
  • Phone: 954-776-1412
  • Fax: 954-776-1542
Mailing address:
  • Phone: 954-776-1412
  • Fax: 954-776-1542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME44683
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: