1841413143 NPI number — DR. FRANNE BELGARD FISTEL D. M. D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841413143 NPI number — DR. FRANNE BELGARD FISTEL D. M. D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FISTEL
Provider First Name:
FRANNE
Provider Middle Name:
BELGARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D. M. D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BELGARD
Provider Other First Name:
FRANNE
Provider Other Middle Name:
ELAINE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D. M. D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841413143
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7522 WILES RD
Provider Second Line Business Mailing Address:
SUITE 104
Provider Business Mailing Address City Name:
CORAL SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33067-2062
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-755-7971
Provider Business Mailing Address Fax Number:
954-755-7994

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7522 WILES RD
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
CORAL SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33067-2062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-755-7971
Provider Business Practice Location Address Fax Number:
954-755-7994
Provider Enumeration Date:
04/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  DN9543 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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