=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649498635
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANKLIN C ANYIKWA MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2007
-----------------------------------------------------
Last Update Date | 08/25/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2301 N UNIVERSITY DR SUITE 205
-----------------------------------------------------
City | PEMBROKE PINES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33024-3617
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-987-6276
-----------------------------------------------------
Fax | 954-987-6277
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2301 N UNIVERSITY DR SUITE 205
-----------------------------------------------------
City | PEMBROKE PINES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33024-3617
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-987-6276
-----------------------------------------------------
Fax | 954-987-6277
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number | ME74207
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------