Healthcare Provider Details

I. General information

NPI: 1952213894
Provider Name (Legal Business Name): ZACHARY FRANCIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DR D1-56A
GAINESVILLE FL
32610-0001
US

IV. Provider business mailing address

1607 NE 5TH AVE
GAINESVILLE FL
32641-5752
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-6731
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberDRPM3112
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: