Healthcare Provider Details

I. General information

NPI: 1619682192
Provider Name (Legal Business Name): PETER V FRANCIS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 01/18/2023
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7271 SPRING HILL DR
SPRING HILL FL
34606-5066
US

IV. Provider business mailing address

5968 SHADY CREEK LN
PORT ORANGE FL
32128-7373
US

V. Phone/Fax

Practice location:
  • Phone: 352-691-5170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14372
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: