Carballo, Fernando A
Carballo, Fernando A is an individual health care provider with primary practice located at 8380 Riverwalk Park Blvd Ste 310 , Fort Myers FL 33919-8758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Carballo, Fernando A can be contacted via phone (239) 291-3602.Contact Information
Primary practice address
8380 Riverwalk Park Blvd Ste 310
Fort Myers FL 33919-8758
Phone: (239) 291-3602
Fax: (239) 291-3603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 53132 | Minnesota |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME137751 | Florida |
Profile Details
| NPI number | 1427010362 |
|---|---|
| LBN Legal business name | Carballo, Fernando A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Oct 30th, 2023 - about 2 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 | 1427010362 | NPPES |
| Wisconsin | Other | P00742968 | RR MEDICARE |
| Wisconsin | MEDICAID | 32471200 | RR MEDICARE |
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