Provider Demographics
NPI:1528335296
Name:DUCLERVIL, FRANTZ (LISENCED ACUPUNCTURE)
Entity type:Individual
Prefix:DR
First Name:FRANTZ
Middle Name:
Last Name:DUCLERVIL
Suffix:
Gender:M
Credentials:LISENCED ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3593 WILES RD APT 205
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2201
Mailing Address - Country:US
Mailing Address - Phone:754-422-1735
Mailing Address - Fax:954-766-4085
Practice Address - Street 1:3593 WILES RD APT 205
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-2201
Practice Address - Country:US
Practice Address - Phone:754-422-1735
Practice Address - Fax:954-766-4085
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-24
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3042171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist