Healthcare Provider Details

I. General information

NPI: 1821465360
Provider Name (Legal Business Name): NAYIB FRANCIS SR. SA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2015
Last Update Date: 09/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2244 SALERNO CIR
WESTON FL
33327-1922
US

IV. Provider business mailing address

2244 SALERNO CIR
WESTON FL
33327-1922
US

V. Phone/Fax

Practice location:
  • Phone: 954-319-4670
  • Fax:
Mailing address:
  • Phone: 954-319-4670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number14-584
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: