Carballosa, Maria Antonieta

Carballosa, Maria Antonieta is an sole proprietor health care provider with primary practice located at 4395 Palm Ave , Hialeah FL 33012-4014. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Carballosa, Maria Antonieta can be contacted via phone (305) 821-3944.

Contact Information

Primary practice address
4395 Palm Ave Hialeah FL 33012-4014
Phone: (305) 821-3944
Fax: (305) 821-4301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0059149 Florida

Profile Details

NPI number 1366492845
LBN Legal business name Carballosa, Maria Antonieta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Mar 7th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366492845 NPPES
Florida MEDICAID 056791400

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