Healthcare Provider Details

I. General information

NPI: 1881885242
Provider Name (Legal Business Name): FRANCIS HEALTHCARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2448 US HIGHWAY 1
MIMS FL
32754-3854
US

IV. Provider business mailing address

2448 US HIGHWAY 1
MIMS FL
32754-3854
US

V. Phone/Fax

Practice location:
  • Phone: 321-267-7423
  • Fax: 321-264-2061
Mailing address:
  • Phone: 321-267-7423
  • Fax: 321-264-2061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS NGUYEN
Title or Position: OWNER PHARMACIST
Credential: RPH
Phone: 321-267-7423