Healthcare Provider Details

I. General information

NPI: 1245897743
Provider Name (Legal Business Name): FRANCOIS SIDNEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 05/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 NW SALMON DR
GRESHAM OR
97030-2659
US

IV. Provider business mailing address

2345 NW SALMON DR
GRESHAM OR
97030-2659
US

V. Phone/Fax

Practice location:
  • Phone: 954-330-8699
  • Fax:
Mailing address:
  • Phone: 954-330-8699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License NumberCRT95997
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: