Betancourt, Omar Alejandro

Betancourt, Omar Alejandro is an individual health care provider with primary practice located at 5491 Dolphin Point Boulevard , Jacksonville FL 32211. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Betancourt, Omar Alejandro can be contacted via phone (904) 256-7847.

Contact Information

Primary practice address
5491 Dolphin Point Boulevard Jacksonville FL 32211
Fax: (904) 256-7798
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DTP752 Florida

Profile Details

NPI number 1063165157
LBN Legal business name Betancourt, Omar Alejandro
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2022
Last updated Jan 31st, 2022 - 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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