Healthcare Provider Details

I. General information

NPI: 1811785629
Provider Name (Legal Business Name): BETTY FRANCOIS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3480 NW 18TH ST
LAUDERHILL FL
33311-4209
US

IV. Provider business mailing address

956 SW GRAND RESERVES BLVD
PORT SAINT LUCIE FL
34986-2343
US

V. Phone/Fax

Practice location:
  • Phone: 772-646-1421
  • Fax:
Mailing address:
  • Phone: 941-623-3036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: