Individual
DR. CORNELIUS SHAW FRANCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1609 PASADENA AVE S, SUITE 1E, SOUTH PASADENA, FL 33707-4565
(727) 341-7870
(727) 341-7758
Mailing address
106-4TH ST E, ST. PETERSBURG, FL 33715-2241
(727) 867-2433
(727) 864-3115
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
ME0022334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059759700
—
FL
01
—
930123645
RR MEDICARE
FL
Enumeration date
09/05/2006
Last updated
06/03/2008
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