Franckle, Cornelius Shaw

Franckle, Cornelius Shaw is an sole proprietor health care provider with primary practice located at 1609 Pasadena Ave S Suite 1E, South Pasadena FL 33707-4565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Franckle, Cornelius Shaw can be contacted via phone (727) 341-7870.

Contact Information

Primary practice address
1609 Pasadena Ave S Suite 1E South Pasadena FL 33707-4565
Phone: (727) 341-7870
Fax: (727) 341-7758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X ME0022334 Florida

Profile Details

NPI number 1710089024
LBN Legal business name Franckle, Cornelius Shaw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated Jun 3rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710089024 NPPES
Florida MEDICAID 059759700
Florida Other 930123645

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