Healthcare Provider Details

I. General information

NPI: 1043671126
Provider Name (Legal Business Name): MARIE JOSEE FRANCOEUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2016
Last Update Date: 05/20/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 TRINITY LAKES DRIVE
SUN CITY CENTER FL
33573
US

IV. Provider business mailing address

8206 ABBEY MIST COVE
TAMPA FL
33619
US

V. Phone/Fax

Practice location:
  • Phone: 813-479-3591
  • Fax:
Mailing address:
  • Phone: 813-479-3591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number158352
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: