Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | ME103378 | FL |
N | 208200000X | Surgeon | ME00103378 | FL |
N | 208600000X | Surgeon | ME00103378 | FL |
NPI | 1144245101 |
---|---|
Provider Name | Dr. Edson Salvador Franco |
First Address | Fort Lauderdale, FL 33309-3750 |
Second Address | Ft Lauderdale, FL 33316-2521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 24/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000944200 | (05) | FL |
H99047 | (02) |