Healthcare Provider Details
I. General information
NPI: 1225305782
Provider Name (Legal Business Name): FRANCK'S LAB INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2011
Last Update Date: 11/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
202 SW 17TH STREET
OCALA FL
34471
US
IV. Provider business mailing address
202 SW 17TH STREET
OCALA FL
34471
US
V. Phone/Fax
- Phone: 352-622-4148
- Fax: 352-622-3318
- Phone: 352-622-4148
- Fax: 352-622-3318
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAUL
WAYNE
FRANCK
Title or Position: CEO/OWNER
Credential: RPH
Phone: 352-622-4148