Executive Medicine of Vero Beach

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME36630 Issued in FL

Legal business name

EXECUTIVE MEDICINE OF VERO BEACH

Practice address

1040 37TH PL Ste 100
Vero Beach, FL 32960-4808

Phone

(772) 567-6140

Fax

(772) 567-6170

NPI assigned

Oct 27, 2017

Organization subpart

No

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

Authorized official

Name

Richard A Franco, MD

Title

President

Phone

(772) 567-6140

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1578075719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 37TH PL STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604808",
            "telephone_number": "772-567-6140",
            "fax_number": "772-567-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 37TH PL STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604808",
            "telephone_number": "772-567-6140",
            "fax_number": "772-567-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE MEDICINE OF VERO BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-567-6140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME36630",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME61131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Eustache, MS
• Henya Evans, PA-C
• Roslyn B Evans, OTR/L, CHT
• Everside Health-Indian River County
• Executive Express Services LLC
• Eye Clinic of Vero Inc
• Eyeglass Enterprises Inc.
• Face Center of Vero PLC
• Kristi Lee Fadden
• Kristina Fahmie, APRN

• Internal Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.