Provider Demographics
NPI:1902155443
Name:MAGUIRE, FRANCIS FLORIANNE ROQUE (DMD)
Entity type:Individual
Prefix:
First Name:FRANCIS FLORIANNE
Middle Name:ROQUE
Last Name:MAGUIRE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2066 BRUCE B DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-9204
Mailing Address - Country:US
Mailing Address - Phone:813-528-8797
Mailing Address - Fax:
Practice Address - Street 1:2066 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9204
Practice Address - Country:US
Practice Address - Phone:813-528-8797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA617621223G0001X
FLDN194881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice