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Individual

DONALD SANFORD FRANKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
410 SOUTH 11TH STREET, LAKE WALES, FL 33853
(863) 676-1433
Mailing address
8390 CHAMPIONS GATE BOULEVARD, STE 306, CHAMPIONS GATE, FL 33896
(407) 390-1677
(407) 390-1765

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME13614
FL
207Q00000X
Family Medicine Physician
Primary
ME13614
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04109
BCBS
FL
05
255780100
FL
Enumeration date
03/11/2006
Last updated
01/17/2012
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