Healthcare Provider Details

I. General information

NPI: 1215355649
Provider Name (Legal Business Name): SYNTHIA ANNE FRANCILLON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 09/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22790 SW 112TH AVE
MIAMI FL
33170-7602
US

IV. Provider business mailing address

1715 NE 35TH AVE
HOMESTEAD FL
33033-5592
US

V. Phone/Fax

Practice location:
  • Phone: 305-235-2616
  • Fax:
Mailing address:
  • Phone: 718-791-0860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: