Bacallao, Jorge Juan
Bacallao, Jorge Juan is an sole proprietor health care provider with primary practice located at 5858 Sw 68Th St , South Miami FL 33143-3693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bacallao, Jorge Juan can be contacted via phone (305) 661-8588.Contact Information
Primary practice address
5858 Sw 68Th St
South Miami FL 33143-3693
Phone: (305) 661-8588
Fax: (305) 661-4906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME 92076 | Florida |
Profile Details
| NPI number | 1275549511 |
|---|---|
| LBN Legal business name | Bacallao, Jorge Juan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Feb 15th, 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 | 1275549511 | NPPES |
| Florida | MEDICAID | 268789500 |
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