Bedoya, Eduardo
Bedoya, Eduardo is an sole proprietor health care provider with primary practice located at 876 Sw State Road 247 , Lake City FL 32025-8308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bedoya, Eduardo can be contacted via phone (386) 755-7595.Contact Information
Primary practice address
876 Sw State Road 247
Lake City FL 32025-8308
Phone: (386) 755-7595
Fax: (386) 755-7561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME81531 | Florida |
Profile Details
| NPI number | 1629173158 |
|---|---|
| LBN Legal business name | Bedoya, Eduardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jun 13th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629173158 | NPPES |
| Florida | MEDICAID | 260566000 |
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