Provider Demographics
NPI:1699776161
Name:FRANCZEK, SCOTT PARKER (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:PARKER
Last Name:FRANCZEK
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 NORTH FLORIDA MANGO ROAD SUITE 201
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409
Mailing Address - Country:US
Mailing Address - Phone:561-296-5288
Mailing Address - Fax:561-296-5287
Practice Address - Street 1:2200 N. FLORIDA MANGO RD. STE 201
Practice Address - Street 2:
Practice Address - City:WPB
Practice Address - State:FL
Practice Address - Zip Code:33409
Practice Address - Country:US
Practice Address - Phone:941-953-5252
Practice Address - Fax:941-953-6633
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME676462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL379685000Medicaid
FL130023511OtherMEDICARE RR
FL68787OtherBCBS
FL68787BMedicare ID - Type Unspecified
FL68787OtherBCBS