Bedoya, Patricia
Bedoya, Patricia is an individual health care provider with primary practice located at 183 Nw Gwen Lake Ave , Lake City FL 32055-3711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bedoya, Patricia can be contacted via phone (386) 752-0442.Contact Information
Primary practice address
183 Nw Gwen Lake Ave
Lake City FL 32055-3711
Phone: (386) 752-0442
Fax: (386) 719-4752
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME0019743 | Florida |
Profile Details
NPI number | 1548212400 |
---|---|
LBN Legal business name | Bedoya, Patricia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | May 14th, 2009 - about 16 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 | 1548212400 | NPPES |
Florida | Other | 12040 | PROVIDER ID |
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