Healthcare Provider Details

I. General information

NPI: 1528007721
Provider Name (Legal Business Name): FRANCELOT MOISE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6229 MIRAMAR PKWY
MIRAMAR FL
33023-3941
US

IV. Provider business mailing address

18781 SW 41ST ST
MIRAMAR FL
33029-2757
US

V. Phone/Fax

Practice location:
  • Phone: 954-237-6409
  • Fax: 954-388-2226
Mailing address:
  • Phone: 954-237-6409
  • Fax: 954-388-2226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME92751
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: