Provider Demographics
NPI:1730746611
Name:PINEDA GONZALEZ, FRANCIS ALEXIS
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:ALEXIS
Last Name:PINEDA GONZALEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13837 OLD CREEK CT FL 34219
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-3123
Mailing Address - Country:US
Mailing Address - Phone:813-523-8751
Mailing Address - Fax:
Practice Address - Street 1:9812 58TH ST E
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-4564
Practice Address - Country:US
Practice Address - Phone:813-523-8751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-25
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician