Healthcare Provider Details

I. General information

NPI: 1427815919
Provider Name (Legal Business Name): KEYANNA FAYE DANIELLE FRANCOIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2024
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9111 PARK DR
MIAMI SHORES FL
33138-3159
US

IV. Provider business mailing address

546 NE 77TH ST
MIAMI FL
33138-5051
US

V. Phone/Fax

Practice location:
  • Phone: 305-756-6110
  • Fax:
Mailing address:
  • Phone: 954-940-8722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9118539
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: