Bastidas, Fabian Roberto

Bastidas, Fabian Roberto is an sole proprietor health care provider with primary practice located at 33 Se Ocean Blvd , Stuart FL 34994-2214. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bastidas, Fabian Roberto can be contacted via phone (772) 221-8878.

Contact Information

Primary practice address
33 Se Ocean Blvd Stuart FL 34994-2214
Phone: (772) 221-8878
Fax: (772) 221-8878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DO3354 Florida

Profile Details

NPI number 1548491640
LBN Legal business name Bastidas, Fabian Roberto
Credentials L.D.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2009
Last updated Aug 6th, 2009 - 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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