1679505432 NPI number — CITY OF DELRAY BEACH

Table of content: DR. RONALD DEAN FRANZ D.O. (NPI 1043243868)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679505432 NPI number — CITY OF DELRAY BEACH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF DELRAY BEACH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679505432
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 NW 1ST AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DELRAY BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33444-2612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-243-7000
Provider Business Mailing Address Fax Number:
561-243-7166

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 W ATLANTIC AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DELRAY BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33444-2555
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-243-7000
Provider Business Practice Location Address Fax Number:
561-243-7166
Provider Enumeration Date:
07/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HENRY
Authorized Official First Name:
FAYE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
561-243-7000

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  ME0034223 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 020395700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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