Carbonell, Efren
Carbonell, Efren is an individual health care provider with primary practice located at 401 Cecil G Costin Sr Blvd , Port St Joe FL 32456-1928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Carbonell, Efren can be contacted via phone (850) 229-1043.Contact Information
Primary practice address
401 Cecil G Costin Sr Blvd
Port St Joe FL 32456-1928
Phone: (850) 229-1043
Fax: (850) 229-1104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12359 | Puerto Rico |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 12359 | Puerto Rico |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN262 | Florida |
Profile Details
| NPI number | 1558307835 |
|---|---|
| LBN Legal business name | Carbonell, Efren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jun 27th, 2024 - about 5 months 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 | 1558307835 | NPPES |
| Florida | MEDICAID | 1558307835 |
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