Healthcare Provider Details

I. General information

NPI: 1942666730
Provider Name (Legal Business Name): ALFREDO KIM FRANCISCO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2016
Last Update Date: 01/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13645 BISCAYNE BLVD
NORTH MIAMI BEACH FL
33181-1617
US

IV. Provider business mailing address

13645 BISCAYNE BLVD
NORTH MIAMI BEACH FL
33181-1617
US

V. Phone/Fax

Practice location:
  • Phone: 305-949-2700
  • Fax: 305-949-2008
Mailing address:
  • Phone: 305-949-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30958
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: