Amgott, Theodore R
Amgott, Theodore R is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 2F , Melbourne FL 32901-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Amgott, Theodore R can be contacted via phone (321) 725-4500.Contact Information
Primary practice address
1223 Gateway Dr Ste 2F
Melbourne FL 32901-2607
Phone: (321) 725-4500
Fax: (321) 768-5082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME44995 | Florida |
Profile Details
| NPI number | 1861485518 |
|---|---|
| LBN Legal business name | Amgott, Theodore R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Apr 30th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861485518 | NPPES |
| Florida | MEDICAID | 040914600 | |
| Florida | Other | 05519W |
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