MEDICARE: FRANCK JEAN

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	183500000X	Pharmacist	PS56482	FL

General Provider Information

NPI Number	:	1629725387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCK JEAN

Provider Business Mailing Address
First Line	:	1371 NE 144TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33161-2536
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 SE 3RD AVE
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1139
Country	:	US
Telephone Number	:	954-761-4534
Fax Number	:

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

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	03/03/2022

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Directions to “ FRANCK JEAN ” Practice Location

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