Bacallao, Carlos A

Bacallao, Carlos A is an sole proprietor health care provider with primary practice located at 704 Washington Ave , Homestead FL 33030-6012. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Bacallao, Carlos A can be contacted via phone (305) 250-8758.

Contact Information

Primary practice address
704 Washington Ave Homestead FL 33030-6012
Phone: (305) 250-8758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9271517 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ARNP9271517 Florida

Profile Details

NPI number 1043736176
LBN Legal business name Bacallao, Carlos A
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2017
Last updated Oct 3rd, 2019 - about 5 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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