Ashizawa, Tetsuo

Ashizawa, Tetsuo is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ashizawa, Tetsuo can be contacted via phone (352) 273-5550.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 273-5550
Fax: (352) 273-5575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E6717 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME105032 Florida

Profile Details

NPI number 1093873754
LBN Legal business name Ashizawa, Tetsuo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Oct 20th, 2009 - about 15 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 1093873754 NPPES
Texas MEDICAID 117744604
Texas Other 1093873754

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