Aguayo, Jose Javier

Aguayo, Jose Javier is an individual health care provider with primary practice located at 1745 Lakeland Hills Blvd , Lakeland FL 33805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Aguayo, Jose Javier can be contacted via phone (863) 688-0576.

Contact Information

Primary practice address
1745 Lakeland Hills Blvd Lakeland FL 33805
Fax: (863) 686-5907
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME74725 Florida

Profile Details

NPI number 1609972728
LBN Legal business name Aguayo, Jose Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609972728 NPPES
Florida MEDICAID 262845700

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