Healthcare Provider Details

I. General information

NPI: 1780678334
Provider Name (Legal Business Name): FRANCIS RAYMUND RIVERO CARANDANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANCIS RIVERO CARANDANG M.D.

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

8331 N DAVIS HWY
PENSACOLA FL
32514-6094
US

V. Phone/Fax

Practice location:
  • Phone: 407-975-0410
  • Fax: 407-975-0411
Mailing address:
  • Phone: 408-717-3483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number024734
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberME145223
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: