Individual provider Active NPI

Francis Fazzano, MD

  • Obstetrics & Gynecology Physician
  • Coral Springs, FL
National Provider Identifier
1982781860
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME43613 Issued in FL
Practice address
1801 N University Dr
201
Coral Springs, FL 33071-8920
Phone
(954) 755-1411
Fax
(954) 755-8315
NPI assigned
Oct 31, 2006
Last updated
Apr 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME43613 FL Primary

Addresses

Primary practice location

1801 N University Dr
201
Coral Springs, FL 33071-8920

Mailing address

1801 N University Dr
201
Coral Springs, FL 33071-8920
Phone (954) 755-1411

Other identifiers 1

IdentifierTypeStateIssuer
0488467900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43613FLMDPharmacist
ME43613FLMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1982781860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N UNIVERSITY DR",
            "address_2": "201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718920",
            "telephone_number": "954-755-1411",
            "fax_number": "954-755-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N UNIVERSITY DR",
            "address_2": "201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718920",
            "telephone_number": "954-755-1411",
            "fax_number": "954-755-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZZANO",
        "first_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME43613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0488467900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.