Balduyeu, Pavel

Balduyeu, Pavel is an individual health care provider with primary practice located at 2627 Riverside Ave Ste 32204 , Jacksonville FL 32204-4717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Balduyeu, Pavel can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
2627 Riverside Ave Ste 32204 Jacksonville FL 32204-4717
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME135467 Florida

Profile Details

NPI number 1659798940
LBN Legal business name Balduyeu, Pavel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Sep 27th, 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 1659798940 NPPES
Florida Other LB421 MEDICARE

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