Amisial, Edy

Amisial, Edy is an sole proprietor health care provider with primary practice located at 1380 Ne Miami Gardens Dr Ste 140B , North Miami Beach FL 33179-4744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Amisial, Edy can be contacted via phone (786) 657-2269.

Contact Information

Primary practice address
1380 Ne Miami Gardens Dr Ste 140B North Miami Beach FL 33179-4744
Phone: (786) 657-2269
Fax: (786) 955-6972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME108552 Florida

Profile Details

NPI number 1881924157
LBN Legal business name Amisial, Edy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2010
Last updated Jun 20th, 2024 - about 6 months 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 1881924157 NPPES
Florida MEDICAID 004060500

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