Healthcare Provider Details

I. General information

NPI: 1265140685
Provider Name (Legal Business Name): LITTLE FRANCIS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 08/02/2025
Certification Date: 08/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 W 16TH AVE STE 100
HIALEAH FL
33012-5853
US

IV. Provider business mailing address

4160 W 16TH AVE STE 100
HIALEAH FL
33012-5853
US

V. Phone/Fax

Practice location:
  • Phone: 305-518-7783
  • Fax: 786-364-0000
Mailing address:
  • Phone: 305-518-7783
  • Fax: 305-826-5598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARTHA BUSTAMANTE
Title or Position: PRESIDENT
Credential: MD
Phone: 954-547-9331