Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO2926 | FL |
NPI | 1396929808 |
---|---|
Provider Name | Mr. Brian S. Frenchman |
First Address | Delray Beach, FL 33446-2164 |
Second Address | Delray Beach, FL 33446-2164 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2007 |
Last Update Date | 13/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
340213400 | (05) | FL |
65728 | BLUE CROSS BLUE SHIELD (01) | FL |
U85394 | (02) | FL |