Canalizo, John Buckley
Canalizo, John Buckley is an individual health care provider with primary practice located at 1055 Saxon Blvd , Orange City FL 32763-8468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Canalizo, John Buckley can be contacted via phone (386) 943-4522.Contact Information
Primary practice address
1055 Saxon Blvd
Orange City FL 32763-8468
Phone: (386) 943-4522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME67318 | Florida |
Profile Details
| NPI number | 1538116355 |
|---|---|
| LBN Legal business name | Canalizo, John Buckley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Aug 3rd, 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 | 1538116355 | NPPES |
| Florida | Other | 32396 | BLUE CROSS |
| Florida | MEDICAID | 250628900 | BLUE CROSS |
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