Healthcare Provider Details

I. General information

NPI: 1568687895
Provider Name (Legal Business Name): NERI FRANZON M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4390 N FEDERAL HWY SUITE101
FT LAUDERDALE FL
33308-5219
US

IV. Provider business mailing address

4390 N FEDERAL HWY SUITE 101
FT LAUDERDALE FL
33308-5219
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 Code302R00000X
TaxonomyHealth Maintenance Organization
License NumberME0044683
License Number StateFL

VIII. Authorized Official

Name: DR. NERI FRANZON
Title or Position: DOCTOR
Credential: M.D.,P.A.
Phone: 954-776-1412