Provider Demographics
NPI:1982790341
Name:F & M OF MILTON INC
Entity type:Organization
Organization Name:F & M OF MILTON INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOSLIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:850-623-2545
Mailing Address - Street 1:5560 STEWART ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-4304
Mailing Address - Country:US
Mailing Address - Phone:850-623-2545
Mailing Address - Fax:850-623-3123
Practice Address - Street 1:5560 STEWART ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-4304
Practice Address - Country:US
Practice Address - Phone:850-623-2545
Practice Address - Fax:850-623-3123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19152AMedicare PIN
FLT54812Medicare UPIN
FL0677470001Medicare NSC