Bengoa, Federico

Bengoa, Federico is an individual health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Bengoa, Federico can be contacted via phone (954) 387-2000.

Contact Information

Primary practice address
3501 Johnson St Hollywood FL 33021-5421
Phone: (954) 387-2000
Fax: (954) 437-6628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME88345 Florida

Profile Details

NPI number 1558364786
LBN Legal business name Bengoa, Federico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 7th, 2023 - about last year

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 1558364786 NPPES
Florida MEDICAID 267631100
Florida Other 81202
Florida Other 290610
Florida Other P00058187
Florida Other 1558364786

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