Franklin D Clontz II, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME0011095 Issued in FL

Practice address

200 N Mangoustine Ave
Sanford, FL 32771-1017

Phone

(407) 322-7841

Fax

(407) 833-7509

NPI assigned

Sep 20, 2007

Last updated

Sep 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1174719413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MANGOUSTINE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711017",
            "telephone_number": "407-322-7841",
            "fax_number": "407-833-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MANGOUSTINE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711017",
            "telephone_number": "407-322-7841",
            "fax_number": "407-833-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONTZ",
        "first_name": "FRANKLIN",
        "middle_name": "D",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0011095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045563600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Sanford Wellness Center Powered by Wecare TLC
• Clarence Scott MD,PA
• Ordeth Aileen Clarke-Meade
• Kasey Clarke
• Nanette Climans, NP-C
• Lisa M Clontz, RNFA
• Coaching With a Twist, LLC.
• Coastal Mental Health Center Inc
• Jade Elisa Cobarrubia, PMHNP-BC
• Amanda Nicole Coburn, MD

• Surgery Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.