Provider Demographics
NPI:1174633390
Name:JOSLIN, FRANKLIN ALFRED (OD)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:ALFRED
Last Name:JOSLIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5560 STEWART ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-4304
Mailing Address - Country:US
Mailing Address - Phone:850-623-2545
Mailing Address - Fax:850-623-3123
Practice Address - Street 1:5560 STEWART ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-4304
Practice Address - Country:US
Practice Address - Phone:850-623-2545
Practice Address - Fax:850-623-3123
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1754152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT54812Medicare UPIN
FL19152AMedicare ID - Type Unspecified