MEDICARE: FRANCISCO IZAGUIRRE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	ME31129	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073590139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO IZAGUIRRE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 816759
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33081-0759
Country	:	US
Telephone Number	:	954-964-2450
Fax Number	:	954-964-6084

Provider Business Practice Location Address
First Line	:	1400 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1003
Country	:	US
Telephone Number	:	305-325-5416
Fax Number	:	305-548-0530

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	09/16/2014

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