Bayolo, Juan C

Bayolo, Juan C is an sole proprietor health care provider with primary practice located at 1565 Saxon Blvd Ste 103 , Deltona FL 32725-5823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bayolo, Juan C can be contacted via phone (386) 574-1423.

Contact Information

Primary practice address
1565 Saxon Blvd Ste 103 Deltona FL 32725-5823
Phone: (386) 574-1423
Fax: (321) 684-5212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301113879 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15486 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN247 Florida

Profile Details

NPI number 1801848478
LBN Legal business name Bayolo, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated May 5th, 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 1801848478 NPPES
Florida MEDICAID 101229200
Florida Other HQ793Z

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