Bejarano, Pablo A

Bejarano, Pablo A is an individual health care provider with primary practice located at 1611 Nw 12Th Ave Box 016960 M851, Miami FL 33136-1005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Bejarano, Pablo A can be contacted via phone (305) 585-6303.

Contact Information

Primary practice address
1611 Nw 12Th Ave Box 016960 M851 Miami FL 33136-1005
Phone: (305) 585-6303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X ME79554 Florida

Profile Details

NPI number 1073532818
LBN Legal business name Bejarano, Pablo A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Nov 18th, 2011 - about 13 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 1073532818 NPPES
Florida MEDICAID 2582341-00

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