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NPI Code Detail

MEDICARE: DR. JUAN FRANCISCO FALLA M.D.

MEDICARE: DR. JUAN FRANCISCO FALLA 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
1207Q00000XFamily Medicine PhysicianME53878FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080089278OTHERFLRAILROAD MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609820968
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN FRANCISCO FALLA M.D.
Provider Business Mailing Address
First Line : 120 PINE AVE N
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-4629
Country : US
Telephone Number : 813-814-9504
Fax Number : 813-635-7946
Provider Business Practice Location Address
First Line : 120 PINE AVENUE NORTH
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-4629
Country : US
Telephone Number : 813-814-9504
Fax Number : 813-635-7946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 01/11/2026

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