Provider Demographics
NPI:1720398001
Name:COUTO, FRANCISCO JAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:COUTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:521 W STATE ROAD 434 STE 301
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5166
Mailing Address - Country:US
Mailing Address - Phone:407-767-5808
Mailing Address - Fax:407-767-5892
Practice Address - Street 1:521 W STATE ROAD 434 STE 301
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750
Practice Address - Country:US
Practice Address - Phone:407-767-5808
Practice Address - Fax:407-767-5892
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC38992208600000X
PAMT198230208600000X
PAMD454183208600000X
FLME130870208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022236200Medicaid