Bacallao, Manuel Dejesus
Bacallao, Manuel Dejesus is an sole proprietor health care provider with primary practice located at 8525 Sw 92 Street Suite B 4, Miami FL 33156-7374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bacallao, Manuel Dejesus can be contacted via phone (305) 279-7446.Contact Information
Primary practice address
8525 Sw 92 Street Suite B 4
Miami FL 33156-7374
Phone: (305) 279-7446
Fax: (305) 598-8753
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME38837 | Florida |
Profile Details
NPI number | 1386603462 |
---|---|
LBN Legal business name | Bacallao, Manuel Dejesus |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 20th, 2006 |
Last updated | Aug 3rd, 2010 - 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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