Provider Demographics
NPI:1699114280
Name:PROFESSIONAL FRANCHISING, INC
Entity type:Organization
Organization Name:PROFESSIONAL FRANCHISING, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAINA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BROES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-341-4606
Mailing Address - Street 1:7029 PELICAN ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-7422
Mailing Address - Country:US
Mailing Address - Phone:813-785-2000
Mailing Address - Fax:813-884-5282
Practice Address - Street 1:3444 E LAKE RD
Practice Address - Street 2:SUITE 412
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-2407
Practice Address - Country:US
Practice Address - Phone:727-475-6822
Practice Address - Fax:727-286-6204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service