Healthcare Provider Details

I. General information

NPI: 1790816981
Provider Name (Legal Business Name): FRANCISCO BARRANCO C.R.N.F.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 09/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 WEST END AVENUE SUITE 800
NASHVILLE TN
37203-1378
US

IV. Provider business mailing address

9549 SW 59 ST
MIAMI FL
33173
US

V. Phone/Fax

Practice location:
  • Phone: 305-323-5292
  • Fax:
Mailing address:
  • Phone: 305-323-5292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN2563932
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: