Provider Demographics
NPI:1104890763
Name:FORAN, JOSEPH FRANCIS (MS, ATCL, CSCS)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:FORAN
Suffix:
Gender:M
Credentials:MS, ATCL, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14080 EDEN ISLE BLVD
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-7322
Mailing Address - Country:US
Mailing Address - Phone:407-595-9489
Mailing Address - Fax:
Practice Address - Street 1:100 W GORE ST
Practice Address - Street 2:SUITE 500
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1044
Practice Address - Country:US
Practice Address - Phone:407-254-2503
Practice Address - Fax:407-423-2789
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL16552255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer