Healthcare Provider Details

I. General information

NPI: 1467423574
Provider Name (Legal Business Name): LUIS ALBERTO FRANCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 LAKELAND HILLS BLVD
LAKELAND FL
33805-3013
US

IV. Provider business mailing address

PO BOX 95004
LAKELAND FL
33804-5004
US

V. Phone/Fax

Practice location:
  • Phone: 863-603-4776
  • Fax: 866-264-8519
Mailing address:
  • Phone: 863-680-7206
  • Fax: 863-680-7420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME38163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: