Healthcare Provider Details

I. General information

NPI: 1184029753
Provider Name (Legal Business Name): LANDRY FRANCOIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2014
Last Update Date: 03/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6519 SW 20TH ST
MIRAMAR FL
33023-2147
US

IV. Provider business mailing address

6519 SW 20TH ST
MIRAMAR FL
33023-2147
US

V. Phone/Fax

Practice location:
  • Phone: 954-668-3006
  • Fax:
Mailing address:
  • Phone: 954-668-3006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9358814
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT11063
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9358814
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: