=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154321735
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GERARDO J. FRANCO, D.O., P. A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2005
-----------------------------------------------------
Last Update Date | 10/06/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11601 BISCAYNE BLVD STE. 202
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33181-3151
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-899-0190
-----------------------------------------------------
Fax | 305-899-0046
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5727 NW 7TH ST PMB 331
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33126-3105
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-899-0190
-----------------------------------------------------
Fax | 305-899-0046
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER PRESIDENT
-----------------------------------------------------
Name | DR. GERARDO JORGE FRANCO
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 305-899-0190
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | OS 7620
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------