Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 153048 | MA |
NPI | 1215029640 |
---|---|
Provider Name | Robert S Franco |
First Address | Jacksonville, FL 32204-4428 |
Second Address | Jacksonville, FL 32204-4428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 08/07/2007 |