Provider Demographics
NPI:1568264398
Name:FRANCISQUE, CATHELENCIA WANNA (MD)
Entity type:Individual
Prefix:
First Name:CATHELENCIA
Middle Name:WANNA
Last Name:FRANCISQUE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 CENTENNIAL PL
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-0582
Mailing Address - Country:US
Mailing Address - Phone:850-431-0719
Mailing Address - Fax:
Practice Address - Street 1:2600 CENTENNIAL PL
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-0582
Practice Address - Country:US
Practice Address - Phone:850-431-0719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program