Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 4202 | NC |
NPI | 1013979681 |
---|---|
Provider Name | Dr. Franklin Earl Hart |
First Address | Jacksonville, FL 32224-1284 |
Second Address | Mayport, FL 32228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 08/07/2007 |