Camejo Leonor, Malliany
Camejo Leonor, Malliany is an individual health care provider with primary practice located at 11921 Saradrienne Ln , Bonita Springs FL 34135-5911. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Camejo Leonor, Malliany can be contacted via phone (393) 442-3532.Contact Information
Primary practice address
11921 Saradrienne Ln
Bonita Springs FL 34135-5911
Phone: (393) 442-3532
Fax: (239) 992-4984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME145242 | Florida |
Profile Details
| NPI number | 1952823379 |
|---|---|
| LBN Legal business name | Camejo Leonor, Malliany |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2017 |
| Last updated | Aug 17th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952823379 | NPPES |
| Florida | Other | MN964 | MEDICARE |
| Florida | MEDICAID | 106651300 | MEDICARE |
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