Bautista, Miho Kojima

Bautista, Miho Kojima is an individual health care provider with primary practice located at 1601 Sw Archer Rd , Gainesville FL 32608-1135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Bautista, Miho Kojima can be contacted via phone (352) 374-1611.

Contact Information

Primary practice address
1601 Sw Archer Rd Gainesville FL 32608-1135
Phone: (352) 374-1611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME91654 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME 091654 Florida

Profile Details

NPI number 1467492413
LBN Legal business name Bautista, Miho Kojima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467492413 NPPES
Florida MEDICAID 273482600

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