Provider Demographics
NPI:1164315271
Name:FRANCILLON, DIANE (BACHELOR OF ART ENG)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:FRANCILLON
Suffix:
Gender:F
Credentials:BACHELOR OF ART ENG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10240 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4702
Mailing Address - Country:US
Mailing Address - Phone:954-243-1644
Mailing Address - Fax:
Practice Address - Street 1:10240 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-4702
Practice Address - Country:US
Practice Address - Phone:954-243-1644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL240397376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker