Healthcare Provider Details

I. General information

NPI: 1447307848
Provider Name (Legal Business Name): ELIZABETH ANNE FRANCO R.N., L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1726 NW 14TH AVE
GAINESVILLE FL
32605-4009
US

IV. Provider business mailing address

1726 NW 14TH AVE
GAINESVILLE FL
32605-4009
US

V. Phone/Fax

Practice location:
  • Phone: 352-377-3936
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number42967
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number1061302
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: