Badov, Mitko Mitov

Badov, Mitko Mitov is an individual health care provider with primary practice located at 9981 S Healthpark Dr Suite 159, Fort Myers FL 33908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Badov, Mitko Mitov can be contacted via phone (239) 343-2052.

Contact Information

Primary practice address
9981 S Healthpark Dr Suite 159 Fort Myers FL 33908
Fax: (239) 424-1421
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 91488 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME91488 Florida

Profile Details

NPI number 1073597340
LBN Legal business name Badov, Mitko Mitov
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Mar 24th, 2021 - about 3 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 1073597340 NPPES
Florida MEDICAID 000820900
Florida MEDICAID 2721431 00
Florida Other 30021

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