Provider Demographics
NPI:1699772681
Name:FRANCK, JOEL IRA (MD)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:IRA
Last Name:FRANCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3180 CURLEW RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-2629
Mailing Address - Country:US
Mailing Address - Phone:850-778-1547
Mailing Address - Fax:727-286-7738
Practice Address - Street 1:3180 CURLEW ROAD
Practice Address - Street 2:SUITE 106
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-2629
Practice Address - Country:US
Practice Address - Phone:850-778-1547
Practice Address - Fax:727-286-7738
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2021-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME99762207T00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MED03568Medicare UPIN
MEMM0485Medicare ID - Type Unspecified